Search › Mississippi › 332B00000X
Jerry Latch
NPI 1538654199 · on the registry since 2018 · sole proprietor
Practice
- Address
- 206 N Fillmore St
Corinth, MS 38834 - Phone
- (662) 286-8064
- Fax
- (662) 286-8064
- Organisation at this address
- Joes Shoes
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-27
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 Mississippi