<Unavail>

LBN: Phillip L. Latham Jr
<Unavail> is an health care organization with primary practice located at 325 Broad Street Suite 200, Sumter SC 29150. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Phillip L. Latham Jr can be contacted via phone (803) 775-4469, or through Dorman, Millie via phone (803) 775-4469.

Contact Information

Primary practice address
325 Broad Street Suite 200 Sumter SC 29150
Phone: (803) 775-4469
Fax: (803) 775-4981
Website:
Map and Directions
Authorized official contact:
Name: Dorman, Millie
Phone: (803) 775-4469

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14449 South Carolina

Profile Details

NPI number 1407947955
LBN Legal business name Phillip L. Latham Jr
DBA Doing business as <Unavail>
Authorized official Dorman, Millie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Dec 10th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407947955 NPPES
South Carolina MEDICAID 144490

Popular Providers