Provider Demographics
NPI:1134237472
Name:PARHAM, DENISE A (RNC)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:A
Last Name:PARHAM
Suffix:
Gender:F
Credentials:RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 HENSON CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30118-4700
Mailing Address - Country:US
Mailing Address - Phone:404-834-6539
Mailing Address - Fax:678-839-0656
Practice Address - Street 1:1600 MAPLE ST
Practice Address - Street 2:UNIVERSITY OF WEST GA
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30118-4700
Practice Address - Country:US
Practice Address - Phone:718-839-6452
Practice Address - Fax:678-839-0656
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN044185363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health