Individual
LATISHA JEANINE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-3110
Mailing address
318 AUTUMN POND DR, BLYTHEWOOD, SC 29016-8428
(334) 759-0238
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT006182
PA
Other
Enumeration date
01/24/2011
Last updated
04/29/2025
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