Individual provider · Type 1 NPI

Loretta Ann Parham, PA-C

Medical Physician Assistant · Fort Stewart, GA

NPI number 1104874981 Active

Practice location

1061 Harmon Ave, Ste 1D03
Fort Stewart, GA 31314-5641

Call (912) 507-4492 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X004410 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1104874981

Loretta Ann Parham, PA-C's National Provider Identifier is 1104874981, issued on May 4, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Stewart, GA. The record was last updated on Aug 3, 2012.