Most Relevant Information
Provider Data
| NPI Number: | 1003205808 |
| Provider Name: | LATONYA BRAILSFORD NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 26158 |
Most Important Dates
| Enumeration Date: | 01/16/2015 |
| Last Updated: | 07/13/2024 |
Provider Practice Location
142 WHISPERING PINES CIR
COLUMBIA
SC
292054945
Practice Location Phone/Fax
| Phone: | 8033519405 |
| Fax: | 8032193836 |
Provider Mailing Location
142 WHISPERING PINES CIR
COLUMBIA
SC
292054945
Provider Mailing Phone/Fax
| Phone: | 8033519405 |
| Fax: | 8032193836 |