ANGELA S LATHAM PA-C
NPI 1043225634
Physician Assistant - Medical in Brunswick, GA

Q: What is Angela Latham's NPI number?

The NPI number for Angela Latham is 1043225634. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Q: What is Angela Latham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Angela Latham was last updated on February 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 30, 2006

2705 WILDWOOD DR, BRUNSWICK, GA 31520(912) 264-6133(912) 267-1415 Get Directions Write a Review

NPPES record last updated: February 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Angela S Latham Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA S LATHAM PA-C (NPI 1043225634) is an individual medical provider in Brunswick, Georgia, licensed in Georgia (004297) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1043225634

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameANGELA S LATHAMCredential: PA-C

Location Address2705 WILDWOOD DRBrunswick, GA 31520-4346

Mailing Address2705 Wildwood DrBrunswick, GA 31520-4346 · (912) 264-6133 · Fax (912) 267-1415

Phone(912) 264-6133

Fax(912) 267-1415

Sole ProprietorNo

Enumeration DateJuly 30, 2006

Last NPPES UpdateFebruary 11, 2011

✔ NPI 1043225634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 004297

2705 WILDWOOD DR, Brunswick, GA 31520

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Other Identifiers 3

Medicaid084105015AGA

Medicare UPINQ65970GA

Medicare ID-Type Unspecified97WCHKPGA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARSHES MEDICAL DIAGNOSTIC CLINIC, PC

Internal Medicine (Nephrology)

2705 WILDWOOD DR
BRUNSWICK, GA 31520

Glynn County (912) 264-6133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Latham's NPI number?

The NPI number for Angela Latham is 1043225634. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Angela Latham located?

Angela Latham practices at 2705 Wildwood Dr, Brunswick, GA 31520. The listed phone number is (912) 264-6133.

What is Angela Latham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Angela Latham was last updated on February 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.