Doctor Name: | MARY ANN ANDERSON-PARRIS |
NPI Number: | 1073946117 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | RN122052 |
Business Practice Address: | 3015 Veterans Pkwy S Moultrie, GA - 317886705 |
Business Phone Number: | 2299854815 |
Business Fax Number: | |
Mailing Address: | 101 4th Ave Sw, CAIRO |
State: | GA |
Postal Code: | 398282925 |
Phone Number: | 2293770502 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2013 |
NPI Last Update Date: | 08/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | RN122052 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |