Individual
LATEEK DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TRANSPORTATION
Contact information
Practice address
4017 PERCIVAL RD APT 2912, COLUMBIA, SC 29229-8389
(802) 429-7919
Mailing address
4017 PERCIVAL RD APT 2912, COLUMBIA, SC 29229-8389
(802) 429-7919
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
004316060
SC
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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