Latham, Georgia
Latham, Georgia is an individual health care provider with primary practice located at 393 N Main St , Sparta NC 28675-8896. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Latham, Georgia can be contacted via phone (336) 372-7575.Contact Information
Primary practice address
393 N Main St
Sparta NC 28675-8896
Phone: (336) 372-7575
Fax: (336) 372-7540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9300197 | North Carolina |
Profile Details
| NPI number | 1427163146 |
|---|---|
| LBN Legal business name | Latham, Georgia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1427163146 | NPPES |
| North Carolina | MEDICAID | 89012PJ |
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