Provider Demographics
NPI:1669810057
Name:MCGEE, LATOMALYN MARIA (AUTHOR)
Entity type:Individual
Prefix:MS
First Name:LATOMALYN
Middle Name:MARIA
Last Name:MCGEE
Suffix:
Gender:F
Credentials:AUTHOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1085 KINDALE PARK RD
Mailing Address - Street 2:
Mailing Address - City:KINGSTREE
Mailing Address - State:SC
Mailing Address - Zip Code:29556-5190
Mailing Address - Country:US
Mailing Address - Phone:843-201-6640
Mailing Address - Fax:843-201-6640
Practice Address - Street 1:1085 KINDALE PARK RD
Practice Address - Street 2:
Practice Address - City:KINGSTREE
Practice Address - State:SC
Practice Address - Zip Code:29556-5190
Practice Address - Country:US
Practice Address - Phone:843-201-6640
Practice Address - Fax:843-201-6640
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist