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Organization
SHARE MINISTRY INC
Active
Organization
SHARE MINISTRY INC
Active
Other names
SHARE Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA S LATHAM MD (MEDICAL DIRECTOR)
(336) 572-2157
Entity
Organization
Contact information
Practice address
393 N MAIN STREET, SPARTA, NC 28675
(336) 372-7575
(336) 372-7540
Mailing address
PO BOX 1209, 393 N MAIN STREET, SPARTA, NC 28675
(336) 372-7575
(336) 372-7540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9300197
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89012PJ
—
NC
Enumeration date
10/04/2006
Last updated
07/14/2008
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