Individual
MR. DAVID E LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1104 TUSCULUM BLVD, SUITE 114, GREENEVILLE, TN 37745-4091
(423) 639-0941
(423) 638-3401
Mailing address
PO BOX 896138, CHARLOTTE, NC 28289-6138
(423) 639-0941
(423) 638-3401
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
8864
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0000039907
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3052082
BC/BS, BLUECARE, TENNCARE
TN
05
—
3603521
—
TN
Enumeration date
03/17/2006
Last updated
09/15/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us