Individual
MRS. CLAUDIA B LATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3686 WHEELER RD, AUGUSTA, GA 30909-6520
(706) 922-6300
(706) 922-6303
Mailing address
3686 WHEELER RD, AUGUSTA, GA 30909-6520
(706) 922-6300
(706) 922-6303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005117
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005117
GEORGIA MEDICAL LICENSE
GA
01
—
1077177
NCCPA
GA
05
—
407631325A
—
GA
05
—
407631325B
—
GA
Enumeration date
07/16/2007
Last updated
03/07/2023
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