Provider Demographics
NPI:1568627255
Name:RHODES-BIGHAM, ANDERIA SHIRRELL (NP)
Entity Type:Individual
Prefix:
First Name:ANDERIA
Middle Name:SHIRRELL
Last Name:RHODES-BIGHAM
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1703 CHINABERRY CT
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-9109
Mailing Address - Country:US
Mailing Address - Phone:404-310-9943
Mailing Address - Fax:
Practice Address - Street 1:2855 CANDLER RD
Practice Address - Street 2:SUITE 9
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-1415
Practice Address - Country:US
Practice Address - Phone:404-243-9630
Practice Address - Fax:404-243-8721
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN066876 NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics