Latham, Angela S
Latham, Angela S is an individual health care provider with primary practice located at 2705 Wildwood Dr , Brunswick GA 31520-4346. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Latham, Angela S can be contacted via phone (912) 264-6133.Contact Information
Primary practice address
2705 Wildwood Dr
Brunswick GA 31520-4346
Phone: (912) 264-6133
Fax: (912) 267-1415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 004297 | Georgia |
Profile Details
| NPI number | 1043225634 |
|---|---|
| LBN Legal business name | Latham, Angela S |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Feb 11th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043225634 | NPPES |
| Georgia | MEDICAID | 084105015A |
Popular Providers
-
Lokey, John L
3025 Shrine Rd Ste 290 , Brunswick GA 31520-4785 -
Stewart, Susan S
Maui Medical Group 2180 Main Street, Wailuku HI 96793 -
Dixon, Mary Beth
3222 Shrine Rd Ste A , Brunswick GA 31520-4357 -
Welch, Kathryn A
220 S Hillside St Ste A , Wichita KS 67211-2151 -
Warner, Nancy J
2500 Starling St Suite 504, Brunswick GA 31520-4265 -
Bishop, Laura Rachel
3408 Trout St , Brunswick GA 31520-3622 -
Young, Sharon Ann
7018 Blair Rd , Calipatria CA 92233-9633 -
Lancaster, Micah Henderson
1111 Glynco Pkwy Building 1, Suite 20, Brunswick GA 31525-7921