IndividualActive
Angela Latham, PA-C
NPI 1043225634 · Medical Physician Assistant · Brunswick, GA
Provider details
- NPI number
- 1043225634
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 004297 (GA)
Practice location
2705 Wildwood Dr
Brunswick, GA 31520-4346
Phone: (912) 264-6133
Fax: (912) 267-1415
Mailing address
2705 Wildwood Dr
Brunswick, GA 31520-4346
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2011-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.