Most Relevant Information
Provider Data
| NPI Number: | 1003557471 |
| Provider Name: | LATOYA MONIQUE RIDLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | CHIR010408 |
Most Important Dates
| Enumeration Date: | 04/07/2022 |
| Last Updated: | 04/07/2022 |
Provider Practice Location
6861 SLATE STONE WAY SE
MABLETON
GA
301265469
Practice Location Phone/Fax
| Phone: | 2292206212 |
| Fax: |
Provider Mailing Location
6861 SLATE STONE WAY SE
MABLETON
GA
301265469
Provider Mailing Phone/Fax
| Phone: | 2292206212 |
| Fax: |