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1477998094
MD2U SOUTH CAROLINA LLC
CHARLESTON, SC
NPI
1477998094
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Entity Type
Organization
Authorized Contact
GREGORY LATTA
CIO
502-416-1851
Organization Subpart ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2013-05-09
Last Update Date
2013-05-09
Business Address
MD2U SOUTH CAROLINA LLC
4000 FABER PLACE DR SUITE 300
CHARLESTON, SC 29405-8585
Phone number: 502-327-9100
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Mailing Address
MD2U SOUTH CAROLINA LLC
140 WHITTINGTON PKWY STE 100
LOUISVILLE, KY 40222-4930
Phone number: 502-327-9100
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