Provider Demographics
NPI:1538051834
Name:SMITH, LATOYA KATRICE
Entity type:Individual
Prefix:
First Name:LATOYA
Middle Name:KATRICE
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 NE SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:WHIGHAM
Mailing Address - State:GA
Mailing Address - Zip Code:39897-3001
Mailing Address - Country:US
Mailing Address - Phone:229-254-0833
Mailing Address - Fax:
Practice Address - Street 1:167 NE SHERMAN ST
Practice Address - Street 2:
Practice Address - City:WHIGHAM
Practice Address - State:GA
Practice Address - Zip Code:39897-3001
Practice Address - Country:US
Practice Address - Phone:229-254-9186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker