Drs Gough & Latham
Eyewear Supplier (Equipment, not the service) in Winston Salem, NC. Organization (NPI-2).
NPI number1033368220
StatusActive
Last updated in NPPESSep 12, 2008
Details
- NPI
- 1033368220
- Entity type
- Organization (NPI-2)
- Legal business name
- Drs Gough & Latham
- Organization subpart
- No
- Enumeration date
- Sep 12, 2008
- Last updated
- Sep 12, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | NC1353 | NC | Yes |
Practice location
1010 S Stratford RdWinston Salem, NC 27103-3206
Phone 336-768-9262 · Fax 336-768-4481
Mailing address
1010 S Stratford RdWinston Salem, NC 27103-3206
Phone 336-768-9262 · Fax 336-768-4481
Authorized official
Darla Latham
Partner
3367689262
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