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Bernice Grant Latham, MD

Family Medicine in Richmond, VA. Individual provider (NPI-1).

NPI number1790798544
StatusActive
Last updated in NPPESDec 13, 2010

Details

NPI
1790798544
Entity type
Individual (NPI-1)
Name
Bernice Grant Latham
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 14, 2006
Last updated
Dec 13, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine0101023261VAYes

Practice location

505 W Leigh St
Suite 301
Richmond, VA 23220-3200

Phone 804-780-3008 · Fax 804-780-3014

Mailing address

Po Box 26965
Richmond, VA 23261-6965

Phone 804-780-3008 · Fax 804-780-3014

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