Phillip L. Latham Jr

Primary specialty

SpecialistTaxonomy code 174400000X

License

14449 Issued in SC

Legal business name

PHILLIP L. LATHAM JR

Practice address

325 Broad Street
Suite 200
Sumter, SC 29150

Phone

(803) 775-4469

Fax

(803) 775-4981

NPI assigned

Sep 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Millie Dorman

Title

Manager

Phone

(803) 775-4469

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Phillip L. Latham Jr Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Doig, PAC

  • Medical Physician Assistant
  • St Louis, MO
  • NPI 1952363939
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1407947955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1029",
            "address_2": "325 BROAD STREET SUITE 200",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "29150",
            "telephone_number": "803-775-4469",
            "fax_number": "803-775-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BROAD STREET",
            "address_2": "SUITE 200",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "29150",
            "telephone_number": "803-775-4469",
            "fax_number": "803-775-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP L. LATHAM JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "DORMAN",
        "authorized_official_first_name": "MILLIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-775-4469",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "14449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144490",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillip L. Latham Jr",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bridget Alexandra Peters, DO
• Demair Peterson
• Marlisa S Peterson, PA-C
• Marissa Pettit
• PH Diabetes Self Care MGT Program
• Phillips Pharmacy, Inc.
• Don Allen Phillips
• Jennifer Davenport Phillips, PHARMD
• Phlebototmy on Wheels
• Physicians Health & Injury Clinic

• Specialist in Sumter, SC
• Providers in Sumter, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.