Doctor Name: | LEW-ANN PARHAM |
NPI Number: | 1205820883 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC, WHNP |
License Number: | RN073017 |
Business Practice Address: | 880 Crestmark Dr Suite 200 Lithia Springs, GA - 301222646 |
Business Phone Number: | 7709418662 |
Business Fax Number: | 7707396006 |
Mailing Address: | 880 Crestmark Dr, Suite 200 LITHIA SPRINGS |
State: | GA |
Postal Code: | 301222646 |
Phone Number: | 7709418662 |
Fax Number: | 7707396006 |
NPI Enumeration Date: | 09/09/2005 |
NPI Last Update Date: | 03/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | RN073017 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |