Latham, Bruce Bryon

Latham, Bruce Bryon is an individual health care provider with primary practice located at 877 W Faris Rd Suite D, Greenville SC 29605-4254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Latham, Bruce Bryon can be contacted via phone (864) 455-9031.

Contact Information

Primary practice address
877 W Faris Rd Suite D Greenville SC 29605-4254
Phone: (864) 455-9031
Fax: (864) 455-9014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 14072 South Carolina

Profile Details

NPI number 1194778589
LBN Legal business name Latham, Bruce Bryon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194778589 NPPES
South Carolina MEDICAID 140724
South Carolina Other P00802354

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