Individual
LARRY KENT TOTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 W FARIS RD, GREENVILLE, SC 29605-4444
(864) 295-4410
(864) 295-5694
Mailing address
1 INDEPENDENCE PT, STE 212, GREENVILLE, SC 29615-4545
(864) 797-6015
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5996
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059965
—
SC
01
—
P00826282
RAILROAD MEDICARE
SC
Enumeration date
05/22/2006
Last updated
07/27/2015
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