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Contact Information

PHILLIP L. LATHAM JR
325 BROAD STREET
SUITE 200
SUMTER, SC29150
 Phone: 803-775-4469
 Fax: 803-775-4981
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for PHILLIP L LATHAM JR · (Female)

NPI Number 1407947955
Status Active
Credentials
Entity Individual
Enumeration date 09/28/2006
Last updated 12/10/2010 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 14449
  • SC Medicaid 144490
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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