Annie Denise Statham, APRN-BC
Nurse Practitioner, Family in Americus, GA. Individual provider (NPI-1).
NPI number1982802013
StatusActive
Last updated in NPPESJun 23, 2021
Details
- NPI
- 1982802013
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Annie Denise Statham
- Credential
- APRN-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2007
- Certification date
- Jun 23, 2021
- Last updated
- Jun 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN111226 | GA | Yes |
Practice location
100 Medical Park WayAmericus, GA 31709-3656
Phone 229-944-4031
Mailing address
100 Medical Park WayAmericus, GA 31709-3656
Phone 229-944-4031
Other practice locations
800 Ga. Southwestern State University Drive
Americus, GA 31709
Americus, GA 31709
Phone 229-931-2235 · Fax 229-931-2666
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