BRANDY NICOLE LATHAM

WT MEDICAL ASSOCIATES

Dr BRANDY NICOLE LATHAM is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.

Contact

WT MEDICAL ASSOCIATES

462 S CHURCH ST
HALLS
TN
380401555

Tel: 7318369303

BRANDY NICOLE LATHAM Information

Npi 1942755467
Pac Id 3971881533
Professional Enrollment Id I20161102000692
Last Name LATHAM
First Name BRANDY
Middle Name NICOLE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WT MEDICAL ASSOCIATES
Group Practice Pac Id 1951650613
Number Of Group Practice Members 32
Line 1 Street Address 462 S CHURCH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City HALLS
State TN
Zip Code 380401555
Phone Number 7318369303
Hospital Affiliation Ccn 1 440072
Hospital Affiliation Lbn 1 DYERSBURG REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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