Provider Demographics
NPI:1427872225
Name:LAUGHLIN-AJALA, FELICIA ANTOINETTE
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:ANTOINETTE
Last Name:LAUGHLIN-AJALA
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 1:7060 THIMBLEWOOD WAY UNIT 4
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-2485
Mailing Address - Country:US
Mailing Address - Phone:305-780-1868
Mailing Address - Fax:
Practice Address - Street 1:7060 THIMBLEWOOD WAY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-2485
Practice Address - Country:US
Practice Address - Phone:305-780-1868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-09
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor