Individual
LATORIA PEARSON-DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
652 BUSH RIVER RD STE 217, COLUMBIA, SC 29210-7537
(803) 258-0656
Mailing address
652 BUSH RIVER RD STE 217, COLUMBIA, SC 29210-7537
(803) 258-0656
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
90528
SC
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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