Organization
JOHN E LATZ MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EDWARD LATZ M.D. (MEMBER/MANAGER)
(704) 662-3270
Entity
Organization
Contact information
Practice address
108 ESSEX CT, MOORESVILLE, NC 28117-6015
(704) 662-3270
(866) 824-9879
Mailing address
108 ESSEX CT, MOORESVILLE, NC 28117-6015
(704) 662-3270
(866) 824-9879
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
182937
NC
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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