Individual
MS. CASSANDRA LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
105 US HIGHWAY 80 E, DEMOPOLIS, AL 36732-3605
(334) 289-4000
Mailing address
4660 ASHLEY HILL CIRCLE, TUSCALOOSA, AL 35405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-095914
AL
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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