Individual
DR. DOUGLAS ERNEST LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, EMERGENCY DEPARTMENT, PORTSMOUTH, VA 23708-2111
(757) 953-5000
Mailing address
109 HERRINGTON LN, CHESAPEAKE, VA 23325-2105
(734) 883-1938
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101252694
VA
Other
Enumeration date
03/23/2007
Last updated
04/03/2013
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