Individual
DR. SAMUEL ROBERT LATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACP, FACCP
Contact information
Practice address
3200 DOWNWOOD CIR NW, 550, ATLANTA, GA 30327-1610
(404) 351-0205
(404) 350-9823
Mailing address
3200 DOWNWOOD CIRCLE, SUITE 550, ATLANTA, GA 30327
(404) 351-0205
(404) 350-9823
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
012337
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012337
STATE LICENSE NUMBER
GA
Enumeration date
12/21/2006
Last updated
06/29/2010
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