Individual
KATHERINE ANDRA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
138 ABERDEEN DR, GREENVILLE, SC 29605-2954
(864) 263-3445
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0273
SC
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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