Provider Demographics
NPI:1336949189
Name:ARMOUR, LATORYA SHANVOYIUS
Entity type:Individual
Prefix:
First Name:LATORYA
Middle Name:SHANVOYIUS
Last Name:ARMOUR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14674 GA HIGHWAY 32 W
Mailing Address - Street 2:
Mailing Address - City:WRAY
Mailing Address - State:GA
Mailing Address - Zip Code:31798-4644
Mailing Address - Country:US
Mailing Address - Phone:912-850-3919
Mailing Address - Fax:
Practice Address - Street 1:14674 GA HIGHWAY 32 W
Practice Address - Street 2:
Practice Address - City:WRAY
Practice Address - State:GA
Practice Address - Zip Code:31798-4644
Practice Address - Country:US
Practice Address - Phone:912-850-3919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN290759363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily