| Bruce Bryon Latham, MD | |
|
877 W Faris Rd, Suite D, Greenville, SC 29605-4254 | |
| (864) 455-9031 | |
| (864) 455-9014 |
| Full Name | Bruce Bryon Latham |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 877 W Faris Rd, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194778589 | NPI | - | NPPES |
| 140724 | Medicaid | SC | |
| P00802354 | Other | SC | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 14072 (South Carolina) | Primary |
| Entity Name | Greenville Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Bryon Latham, MD 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: (864) 797-6306 | Bruce Bryon Latham, MD 877 W Faris Rd, Suite D, Greenville, SC 29605-4254 Ph: (864) 455-9031 |
Hilary Lauren Knippers, DO Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 876 W Faris Rd, Greenville, SC 29605 Phone: 864-455-5648 | |
Abdullah Darvesh, Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7882 | |
Daniel Ruiz, Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7882 | |
Rhett Mckey Shirley, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd, Suite 520, Greenville, SC 29605 Phone: 864-455-9033 Fax: 864-455-6559 | |
Mohammad Rashid, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 61 Pointe Cir, Greenville, SC 29615 Phone: 864-286-6960 Fax: 864-286-8710 | |
Benjamin Ellis Rawls, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 5, Greenville, SC 29605 Phone: 864-455-4411 | |
Alan Robert Thompson, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, 5th Floor, Greenville, SC 29605 Phone: 864-455-4411 Fax: 864-455-4480 |