| Latham And Latham Mds | |
|
505 West Leigh St Suite 301 Richmond VA 23220 | |
| (804) 780-3008 | |
| (804) 780-3014 |
| Full Name | Latham And Latham Mds |
|---|---|
| Speciality | Family Medicine |
| Location | 505 West Leigh St, Richmond, Virginia |
| Authorized Official Name and Position | Wiley Jacob Latham (PARTNER) |
| Authorized Official Contact | 8047803008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latham And Latham Mds Po Box 15483 Richmond VA 23227-0000 Ph: (804) 780-3008 | Latham And Latham Mds 505 West Leigh St Suite 301 Richmond VA 23220 Ph: (804) 780-3008 |
| NPI Number | 1144332727 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 10/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144332727 | NPI | - | NPPES |
| 5671051 | Medicaid | VA | |
| 6071066 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101023261 (Virginia) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | 0101023313 (Virginia) | Secondary |
Laburnum Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4620 S Laburnum Ave, Richmond, VA 23231 Phone: 804-226-2444 Fax: 804-222-0458 | |
Dr Rozana Itskovich Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7660 E Parham Road, Suite 204, Richmond, VA 23294 Phone: 804-364-8802 Fax: 804-364-1288 | |
John E Gehman Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7323 Boulder View Ln, Richmond, VA 23225 Phone: 804-744-5050 Fax: 804-744-8811 | |
Bon Secours Infectious Disease Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5855 Bremo Rd, Suite 102, Richmond, VA 23226 Phone: 804-673-2814 Fax: 804-673-2873 | |
Mary Brantley Holmes Msn Whnp-bc Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8955 Wishart Rd, Richmond, VA 23229 Phone: 804-928-5596 | |
Independent Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7605 Forest Ave, Ste 211, Richmond, VA 23229 Phone: 804-282-3114 Fax: 804-285-9723 | |
Altria Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6601 W Broad St, Richmond, VA 23230 Phone: 804-484-8891 |