Individual
LATROY OMAR DINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR STE 120, COLUMBIA, SC 29203-6850
(803) 434-8866
(803) 933-3049
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24151
SC
Other
Enumeration date
10/19/2020
Last updated
08/28/2023
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