LATAVIA HARRISON

COLUMBIA, SC
NPI1669831491
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: SC  19856)
Enumeration Date2016-02-22
Last Update Date2018-09-27
Business Address
LATAVIA HARRISON APRN
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
Mailing Address
LATAVIA HARRISON APRN
529 MILLS AVE
GREENVILLE, SC 29605-4218
Phone number: 864-751-6424