DR. Charles Riley Latham, D.O.

NPI #1780064501 in Forest, Virginia

Provider Information

NPI Number: 1780064501
Entity Type: Individual
Name: DR. Charles Riley Latham, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jun 6, 2015
Last Updated: Jan 18, 2022

Practice Location

Address: 1088 LONDON LINKS DR
City: Forest
State: Virginia
ZIP Code: 24551-4662
Phone: (434) 534-6868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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