LORETTA ANN PARHAM PA-C NPI 1104874981

NPI Information

NPI: 1104874981
Provider Name: LORETTA ANN PARHAM, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1061 HARMON AVE
STE 1D03
FORT STEWART, GA
ZIP 31314
Phone: (912) 507-4492
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Loretta Ann Parham, PA-C is a medical physician assistant in Fort Stewart, GA. Loretta Ann Parham, PA-C NPI is 1104874981. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1061 HARMON AVE
STE 1D03
FORT STEWART, GA
ZIP 31314-641
Phone: (912) 507-4492

The enumeration date for this NPI number is 5/4/2006 and was last updated on 8/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	004410	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q71211	MEDICARE UPIN	GEORGIA
2	511I970100	MEDICARE PIN	GEORGIA
3	264954116A	MEDICAID	GEORGIA
4	264954116B	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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