Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 25667 | SC |
NPI | 1295494441 |
---|---|
Provider Name | Mrs. Dana Renee Morton |
First Address | Inman, SC 29349-8608 |
Second Address | Spartanburg, SC 29307-1018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2021 |
Last Update Date | 15/12/2021 |