SearchGeorgia101Y00000X

Brody Lathem

NPI 1386387413 · on the registry since 2022 · sole proprietor

Practice

Address
3833 N Oak Street Ext
Valdosta, GA 31605
Phone
(229) 985-4815

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Male
Record last updated
2025-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia