MS. Latasha G Sullivan
NPI #1871182642 in Greenville, South Carolina
Provider Information
- NPI Number
- 1871182642
- Entity Type
- Individual
- Name
- MS. Latasha G Sullivan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 15, 2021
- Last Updated
- Jan 15, 2021
Practice Location
- Address
- 9 HOGAN DR
- City
- Greenville
- State
- South Carolina
- ZIP Code
- 29605-5909
- Phone
- (864) 209-5208
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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