Individual
LAUREN MURPHY OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
215 DORANGE RD, BRANCHVILLE, SC 29432-2241
(803) 395-3650
(803) 274-8817
Mailing address
1773 VILLAGE PARK DR, ORANGEBURG, SC 29118-2475
(803) 535-3600
(803) 534-6300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1731
SC MEDICAL LICENSE
SC
Enumeration date
10/14/2011
Last updated
01/15/2019
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