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PHILLIP L. LATHAM JR
NPI 1407947955
Specialist in Sumter, SC

Active since September 28, 2006
325 BROAD STREET, SUITE 200, SUMTER, SC 29150(803) 775-4469(803) 775-4981 Get Directions Write a Review

NPPES record last updated: December 10, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phillip L. Latham Jr NPPES

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

PHILLIP L. LATHAM JR (NPI 1407947955) is a healthcare organization registered as a specialist in Sumter, South Carolina and active in the NPI registry since September 2006. The organization lists Millie Dorman, Manager, as its authorized official.

NPPES Registry Identity

NPI1407947955
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePHILLIP L. LATHAM JR
Location Address325 BROAD STREET, SUITE 200Sumter, SC 29150
Mailing AddressPo Box 1029, 325 Broad Street Suite 200Sumter, SC 29150 · (803) 775-4469 · Fax (803) 775-4981
Phone(803) 775-4469
Fax(803) 775-4981
Organization SubpartNo
Authorized OfficialMillie DormanManager · (803) 775-4469
Enumeration DateSeptember 28, 2006
Last NPPES UpdateDecember 10, 2010
✔ NPI 1407947955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 14449
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
325 BROAD STREET, Sumter, SC 29150
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Other Names 1

Other NamePhillip L. Latham Jr

Other Identifiers 3

Medicare UPINE72837SC
Medicare ID-Type Unspecified6391SC
Medicaid144490SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Phillip L. Latham Jr's NPI number?

The NPI number for Phillip L. Latham Jr is 1407947955. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Phillip L. Latham Jr located?

Phillip L. Latham Jr is located at 325 Broad Street Suite 200, Sumter, SC 29150. The listed phone number is (803) 775-4469.

What is Phillip L. Latham Jr's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Phillip L. Latham Jr was last updated on December 10, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.