Individual
CHRISTOPHER D LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10415 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 390-0451
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
Primary
APN12372
TN
367500000X
Certified Registered Nurse Anesthetist
RN133314
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3346750
—
TN
01
—
4295630
BC/BS OF TN
TN
01
—
P00002184
RAILROAD MEDICARE
TN
Enumeration date
02/14/2007
Last updated
09/02/2025
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