Individual
DR. JIM WAYNE LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 REGENCY PARK DR, SUITE 150, MCDONOUGH, GA 30253-7080
(770) 957-4195
(770) 898-6337
Mailing address
101 REGENCY PARK DR, SUITE 150, MCDONOUGH, GA 30253-7080
(770) 957-4195
(770) 898-6337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039391
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039391
STATE LICENSE
GA
Enumeration date
12/05/2006
Last updated
10/13/2014
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