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Brandon Latteri, PA-C
Military Health Care Provider in Fort Liberty, North Carolina
NPI 1558121392

Brandon Latteri is a Military Health Care Provider based in Fort Liberty, NC. Brandon Latteri practices in Fort Liberty, NC and has the professional credentials of PA-C. The NPI Number for Brandon Latteri is 1558121392 and holds a License No. (North Carolina).

The current practice location address for Brandon Latteri is 2817 Rock Merritt Avenue, Fort Liberty, NC and can be reached out via phone at 910-907-8282.

Location: 2817 Rock Merritt Avenue, Fort Liberty, NC, 28310-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558121392
Provider Name
Brandon Latteri
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2817 Rock Merritt Avenue, Fort Liberty, NC, 28310-0001
Phone Number
910-907-8282
Fax Number
Provider Enumeration Date
03/20/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2817 Rock Merritt Avenue
City
Fort Liberty
State
North Carolina
Zip
28310-0001
Phone Number
910-907-8282
Fax Number
person
Provider Business Mailing Address Details
Address
2817 Rock Merritt Avenue
City
Fort Liberty
State
North Carolina
Zip
28310-0001
Phone Number
910-907-8282
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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