Organization
DRS GOUGH & LATHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARLA LATHAM O.D. (PARTNER)
(336) 768-9262
Entity
Organization
Contact information
Practice address
1010 S STRATFORD RD, WINSTON SALEM, NC 27103-3206
(336) 768-9262
(336) 768-4481
Mailing address
1010 S STRATFORD RD, WINSTON SALEM, NC 27103-3206
(336) 768-9262
(336) 768-4481
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
NC1353
NC
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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