Individual
DR. PHILLIP JAMES LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 MADISON AVE STE 409, MEMPHIS, TN 38103-3403
(901) 448-1026
(901) 448-1122
Mailing address
ONE DR. MARTIN LUTHER KING JR. AVE., APT. 463, MEMPHIS, TN 38103-3438
(803) 468-5565
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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