Individual
LATOYA SHANEIKA HINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2728 SUNSET BLVD STE 104, WEST COLUMBIA, SC 29169-4838
(803) 256-0464
(803) 254-5121
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
20632
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
20632
SC
Other
Enumeration date
12/08/2016
Last updated
11/06/2020
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