Latanya Weston
EAGLE'S LANDING FAMILY PRACTICE, INC.


Address: 211 Fairview Rd, Ellenwood, GA 30294-2721
Phone: 7705074554

Latanya Weston (NPI# 1174993026, PAC ID# 4981914595) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1174993026
PAC ID by PECOS 4981914595
Professional Enrollment ID I20151111002337
Full Name Latanya Weston
Organization Legal Name EAGLE'S LANDING FAMILY PRACTICE, INC.
Address 211 Fairview Rd
Ellenwood
GA 30294-2721
Phone Number 7705074554
Gender F
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 8022901925
Number of Group Practice Members 53
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
500050 PEACEHEALTH SOUTHWEST MEDICAL CENTER

Other Locations

Address Phone Organization
211 Fairview Rd, Ellenwood, GA 30294-2721 7705074554 EAGLE'S LANDING FAMILY PRACTICE, INC.

Organization Information

Organization Legal Name EAGLE'S LANDING FAMILY PRACTICE, INC.
Physicians 79

Physicians with the same organization

Name Specialty Organization Address
Francisco Echevarria-santiago Internal Medicine Eagle's Landing Family Practice, Inc. 1101 Nortec Sedr, Conyers, GA 30013-5835
Niraj Patel Physician Assistant Eagle's Landing Family Practice, Inc. 1502 W 3rd St, Jackson, GA 30233-1979
Ashly E Joseph Internal Medicine Eagle's Landing Family Practice, Inc. 145 Eagles Walk, Suite A, Stockbridge, GA 30281-7340
Lokhana Kong Nurse Practitioner Eagle's Landing Family Practice, Inc. 50 Kelly Rd, Mcdonough, GA 30253-6012
Rose Kombe Nurse Practitioner Eagle's Landing Family Practice, Inc. 211 Fairview Rd, Ellenwood, GA 30294-2721
Maritess Thomas-ford Nurse Practitioner Eagle's Landing Family Practice, Inc. 1058 Bear Creek Blvd, Hampton, GA 30228-1849
Michelle Denise Bush Nurse Practitioner Eagle's Landing Family Practice, Inc. 3758 Hwy 42, Locust Grove, GA 30248-3653
Jennifer Brown Physician Assistant Eagle's Landing Family Practice, Inc. 2200 Hwy 155 N, Mcdonough, GA 30252-4806
Stephanie S Rushing Nurse Practitioner Eagle's Landing Family Practice, Inc. 1100 Hospital Dr, Stockbridge, GA 30281-6381
Joseph Barr General Practice Eagle's Landing Family Practice, Inc. 65 Old Jackson Rd, Mcdonough, GA 30252-3095

Office Location

Street Address 211 FAIRVIEW RD
City ELLENWOOD
State GA
Zip 30294-2721

Physicians in the same location

Name Specialty Organization Address
Rose Kombe Nurse Practitioner Eagle's Landing Family Practice, Inc. 211 Fairview Rd, Ellenwood, GA 30294-2721
Jamal Dixon Internal Medicine Eagle's Landing Family Practice, Inc. 211 Fairview Rd, Ellenwood, GA 30294-2721

Physicians in the same zip code

Name Specialty Organization Address
Louanna Fericia Adams Clinical Social Worker 4204 Sweetwater Pkwy, Ellenwood, GA 30294-1554
Tamica Evelyn White General Surgery 4475 W Village Pkwy, Ellenwood, GA 30294-2634
Charles V Clopton Jr. Family Medicine 195 Fairview Rd, Ellenwood, GA 30294-2722

Competitor

Search similar physicians

City ELLENWOOD
Zip Code 30294
Specialty NURSE PRACTITIONER
City + Specialty ELLENWOOD + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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