Individual
GRACE LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9 HAWTHORNE PARK CT, GREENVILLE, SC 29615-3194
(864) 036-5600
(864) 603-5601
Mailing address
415 BROCKMAN MCCLIMON RD, GREER, SC 29651-6608
(864) 989-1432
(864) 989-1338
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
18007
SC
Other
Enumeration date
05/28/2013
Last updated
11/01/2019
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