Organization · Type 2 NPI

Phillip L. Latham JR

Specialist · Sumter, SC

NPI number 1407947955 Active

Practice location

325 Broad Street, Suite 200
Sumter, SC 29150

Fax (803) 775-4981

Mailing address

PO Box 1029, 325 Broad Street Suite 200
Sumter, SC 29150

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X14449 (SC)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1407947955

Phillip L. Latham JR's National Provider Identifier is 1407947955, issued on Sep 28, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Sumter, SC. The record was last updated on Dec 10, 2010.