Individual
BRENDA ARLENE LATHAM-SADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28881
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26831
MEDCOST
NC
01
—
5025265
AETNA
—
01
—
51096
BCBS
NC
05
—
5617065
—
VA
05
—
7951096
—
NC
01
—
807293
PARTNERS
NC
Enumeration date
11/30/2005
Last updated
03/25/2014
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