Individual
KAYLA DANIELLE LAFAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1301 TAYLOR ST STE 8A, COLUMBIA, SC 29201-2955
(803) 929-2955
(803) 434-4160
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(803) 434-6412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51977
SC
Other
Enumeration date
05/29/2018
Last updated
08/11/2021
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