Angela S Latham, PA-C in Brunswick, GA - Physician Assistant

Angela S Latham, PA-C is a Physician Assistant - Medical based in Brunswick, Georgia. Angela S Latham is licensed to practice in Georgia (license number 004297) and her current practice location is 2705 Wildwood Dr, Brunswick, Georgia. She can be reached at her office (for appointments etc.) via phone at (912) 264-6133.

NPI number for Angela S Latham is 1043225634 and her current mailing address is 2705 Wildwood Dr, Brunswick, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043225634.

Contact Information

	Angela S Latham, PA-C
	2705 Wildwood Dr, Brunswick, GA 31520-4346
	(912) 264-6133
	(912) 267-1415

Provider's Profile

Full Name	Angela S Latham
Gender	Female
Speciality	Physician Assistant - Medical
Location	2705 Wildwood Dr, Brunswick, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1043225634
Provider Enumeration Date: 07/30/2006
Last Update Date: 02/11/2011

Medical Identifiers

Medical identifiers for Angela S Latham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043225634	NPI	-	NPPES
084105015A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	004297 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela S Latham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Angela S Latham, PA-C 2705 Wildwood Dr, Brunswick, GA 31520-4346 Ph: (912) 264-6133	Angela S Latham, PA-C 2705 Wildwood Dr, Brunswick, GA 31520-4346 Ph: (912) 264-6133

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Angela S Latham, PA-C - Physician Assistant in Brunswick, GA