Phillip L. Latham Jr

NPI #1407947955 in Sumter, South Carolina

Provider Information

NPI Number: 1407947955
Entity Type: Organization
Organization Name: Phillip L. Latham Jr
Primary Specialty: Specialist
Enumeration Date: Sep 28, 2006
Last Updated: Dec 10, 2010

Practice Location

Address: 325 BROAD STREET
Address 2: SUITE 200
City: Sumter
State: South Carolina
ZIP Code: 29150
Phone: (803) 775-4469

Authorized Official

Name: MRS. MILLIE DORMAN
Title: MANAGER
Phone: (803) 775-4469

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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