Individual
LATANYA K WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3010 FARROW RD STE 200, COLUMBIA, SC 29203-7606
(803) 434-6100
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3966
SC
363LF0000X
Family Nurse Practitioner
Primary
RN149121
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1473
—
SC
Enumeration date
07/10/2009
Last updated
05/13/2021
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