Individual
AUSTIN TAYLOR MOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1331 CILANTRO CT, FORT MILL, SC 29708-8815
(214) 608-6597
Mailing address
1331 CILANTRO CT, TEGA CAY, SC 29708-8815
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1039230
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
32300
SC
Other
Enumeration date
06/25/2026
Last updated
07/13/2026
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