Individual
MR. PHILLIP LANE LATHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
560 CONSTITUTION DR, SUMTER, SC 29154-8175
(803) 775-4469
(803) 775-4981
Mailing address
560 CONSTITUTION DR, SUMTER, SC 29154-8175
(803) 775-4469
(803) 775-4981
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
BL4905850
SC
Other
Enumeration date
07/19/2006
Last updated
09/29/2025
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