Individual
ALINA LATIFULLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
6311 GARNERS FERRY RD, COLUMBIA, SC 29209-1445
(803) 216-3300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
07/29/2024
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