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NPI Profile for LATOSHA L CORLEY in ORANGEBURG, SC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI Number | 1376193383 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/12/2019 | |
| Last updated | 09/12/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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LATOSHA L CORLEY
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LATOSHA L CORLEY