Mr Phillip Lane Latham Jr, MD | |
560 Constitution Dr, Sumter, SC 29154-8175 | |
(803) 775-4469 | |
(803) 775-4981 |
Full Name | Mr Phillip Lane Latham Jr |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 36 Years |
Location | 560 Constitution Dr, Sumter, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437178548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | BL4905850 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Heath Tuomey Hospital | Sumter, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dermatology And Skin Surgery Inc | 2860822699 | 3 |
Entity Name | Phillip L Latham Jr |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407947955 PECOS PAC ID: 4385642859 Enrollment ID: O20061127000134 |
Entity Name | Dermatology And Skin Surgery Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366075343 PECOS PAC ID: 2860822699 Enrollment ID: O20200420000724 |
Mailing Address | Practice Location Address |
---|---|
Mr Phillip Lane Latham Jr, MD 560 Constitution Dr, Sumter, SC 29154-8175 Ph: (803) 775-4469 | Mr Phillip Lane Latham Jr, MD 560 Constitution Dr, Sumter, SC 29154-8175 Ph: (803) 775-4469 |
Mr. Edward Roger Reynolds Jr., PAC Dermatology Medicare: Accepting Medicare Assignments Practice Location: 560 Constitution Dr Ste 200, Sumter, SC 29154 Phone: 803-775-4469 Fax: 803-775-4981 | |
Dr. Sylvia Lucia Parra, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 560 Constitution Dr, Sumter, SC 29154 Phone: 803-775-4469 Fax: 803-775-4981 |