Parham, Loretta Ann
Parham, Loretta Ann is an individual health care provider with primary practice located at 1061 Harmon Ave Ste 1D03, Fort Stewart GA 31314-5641. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Parham, Loretta Ann can be contacted via phone (912) 507-4492.Contact Information
Primary practice address
1061 Harmon Ave Ste 1D03
Fort Stewart GA 31314-5641
Phone: (912) 507-4492
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 004410 | Georgia |
Profile Details
| NPI number | 1104874981 |
|---|---|
| LBN Legal business name | Parham, Loretta Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Aug 3rd, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104874981 | NPPES |
| Georgia | MEDICAID | 264954116B | |
| Georgia | MEDICAID | 264954116A |
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