Individual
LATEIAH MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1736 MAIN ST S, GREENWOOD, SC 29646-4100
(864) 942-3600
Mailing address
351 BRADLEY RD, MC CORMICK, SC 29835-6529
(864) 554-5102
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
241789
SC
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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