SHANE A LATHAM

ATLANTA, GA
NPI1144472838
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: GA  005398)
Enumeration Date2008-10-14
Last Update Date2008-12-10
Business Address
-- SHANE A LATHAM AA
5665 PEACHTREE DUNWOODY RD NE
ATLANTA, GA 30342-1764
Phone number: 404-851-7324
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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