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Mikayla Mary Latham, NP

Nurse Practitioner in Thomasville, NC. Individual provider (NPI-1).

NPI number1982172573
StatusActive
Last updated in NPPESAug 26, 2024

Details

NPI
1982172573
Entity type
Individual (NPI-1)
Name
Mikayla Mary Latham
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 13, 2018
Certification date
Aug 26, 2024
Last updated
Aug 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner50111833NCYes

Other names

  • Mikayla Mary Birthrong (Professional Name)

Practice location

1302 Lexington Ave
Thomasville, NC 27360-3419

Phone 336-475-6139 · Fax 336-475-3331

Mailing address

Po Box 60447
Charlotte, NC 28260-0447

Other practice locations

2909 Maplewood Ave
Winston Salem, NC 27103-4009

Phone 336-277-0340 · Fax 336-794-9411

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