Organization
CONVENIENT HEALTH AND WELLNESS VIRTUAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOHSA EPPS FNP (EMP)
(843) 687-0214
Entity
Organization
Contact information
Practice address
678 MOORE ST, LAKE CITY, SC 29560-4273
(843) 687-0214
Mailing address
PO BOX 237, LAKE CITY, SC 29560-0237
(843) 687-0214
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
06/13/2023
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