Individual
LATOYA MCCOMBS- MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3300 WADE HAMPTON BLVD, TAYLORS, SC 29687-2902
(864) 268-9160
Mailing address
3300 WADE HAMPTON BLVD, TAYLORS, SC 29687-2902
(864) 268-9160
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
219624
SC
363L00000X
Nurse Practitioner
25127
SC
363LF0000X
Family Nurse Practitioner
Primary
25127
SC
Other
Enumeration date
08/04/2014
Last updated
03/02/2022
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