Individual
ROBERT CHARLES LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
100 KENNER AVE, NASHVILLE, TN 37205-2218
(615) 712-7261
(615) 712-7264
Mailing address
3227E SUNSET BLVD, WEST COLUMBIA, SC 29169-7205
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
CA
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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