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1144472838
SHANE A LATHAM
ATLANTA, GA
NPI
1144472838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: GA 005398)
Enumeration Date
2008-10-14
Last Update Date
2008-12-10
Business Address
SHANE A LATHAM AA
5665 PEACHTREE DUNWOODY RD NE
ATLANTA, GA 30342-1764
Phone number: 404-851-7324
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Mailing Address
SHANE A LATHAM AA
5671 PEACHTREE DUNWOODY RD NE SUITE 530
ATLANTA, GA 30342-5000
Phone number: 404-257-1415
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