Individual
MIKAYLA MARY LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1302 LEXINGTON AVE, THOMASVILLE, NC 27360-3419
(336) 475-6139
(336) 475-3331
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
50111833
NC
Other
Enumeration date
11/13/2018
Last updated
08/26/2024
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