CHARLES RILEY LATHAM

FOREST, VA
NPI1780064501
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0102205093)
Enumeration Date2015-06-06
Last Update Date2022-01-18
Business Address
DR. CHARLES RILEY LATHAM D.O.
1088 LONDON LINKS DR
FOREST, VA 24551-4662
Phone number: 434-534-6868
Mailing Address
DR. CHARLES RILEY LATHAM D.O.
1088 LONDON LINKS DR
FOREST, VA 24551-4662
Phone number: 434-534-6868
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