Statham, Annie Denise

Statham, Annie Denise is an individual health care provider with primary practice located at 100 Medical Park Way , Americus GA 31709-3656. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Statham, Annie Denise can be contacted via phone (229) 944-4031.

Contact Information

Primary practice address
100 Medical Park Way Americus GA 31709-3656
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN111226 Georgia

Profile Details

NPI number 1982802013
LBN Legal business name Statham, Annie Denise
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Jun 23rd, 2021 - about 4 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.

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