John E Latz Md Pllc | |
108 Essex Ct Mooresville NC 28117-6015 | |
(704) 662-3270 | |
(866) 824-9879 |
Full Name | John E Latz Md Pllc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 108 Essex Ct, Mooresville, North Carolina |
Authorized Official Name and Position | John Edward Latz (MEMBER/MANAGER) |
Authorized Official Contact | 7046623270 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
John E Latz Md Pllc 108 Essex Ct Mooresville NC 28117-6015 Ph: (704) 662-3270 | John E Latz Md Pllc 108 Essex Ct Mooresville NC 28117-6015 Ph: (704) 662-3270 |
NPI Number | 1649533456 |
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Provider Enumeration Date | 06/18/2012 |
Last Update Date | 06/18/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649533456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 182937 (North Carolina) | Primary |
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