Individual
LATOYA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 FORUM DR STE 4, COLUMBIA, SC 29229-7980
(803) 237-1672
Mailing address
136 FORUM DR STE 4, COLUMBIA, SC 29229-7980
(803) 237-1672
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
007494117
SC
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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