Individual
ROBERT A W LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8640 SUDLEY RD, SUITE 203, MANASSAS, VA 20110-4420
(703) 368-3161
(703) 368-2498
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(703) 368-3161
(703) 368-2498
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101042121
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053311555
—
VA
Enumeration date
07/26/2005
Last updated
10/28/2020
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