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Individual

ROBERT H LATHAM

Active
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Individual

ROBERT H LATHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
11591
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3039980
MEDICARE
05
3039981
TN
01
4103657
BCBS
TN
01
4141664
BLUE CROSS
TN
01
4224455
AETNA
01
6007661
BCBST
TN
01
6479272400
KENTUCKY MEDICAID
KY
01
P00395551
RAILROAD MEDICARE
Enumeration date
06/29/2006
Last updated
03/25/2022
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