person
Angela S Latham, PA-C
Medical Physician Assistant in Brunswick, Georgia
NPI 1043225634

Angela S Latham is a Medical Physician Assistant based in Brunswick, GA and is specialized in Medical. Angela S Latham practices in Brunswick, GA and has the professional credentials of PA-C. The NPI Number for Angela S Latham is 1043225634 and holds a License No. 004297 (Georgia).

The current practice location address for Angela S Latham is 2705 Wildwood Dr, Brunswick, GA and can be reached out via phone at 912-264-6133 and via fax at 912-267-1415.

Location: 2705 Wildwood Dr, Brunswick, GA, 31520-4346
person
Provider Profile Details
NPI Number
1043225634
Provider Name
Angela S Latham
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2705 Wildwood Dr, Brunswick, GA, 31520-4346
Phone Number
912-264-6133
Fax Number
912-267-1415
Provider Enumeration Date
07/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
084105015A 05 GA
institution
Provider Business Practice Location Address Details
Address
2705 Wildwood Dr
City
State
Zip
31520-4346
Phone Number
912-264-6133
Fax Number
912-267-1415
person
Provider Business Mailing Address Details
Address
2705 Wildwood Dr
City
State
Zip
31520-4346
Phone Number
912-264-6133
Fax Number
912-267-1415
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004297 (Georgia)
Definition
Definition to come...
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