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Individual
CHARLES ANTHONY ANCRUM
Active
Individual
CHARLES ANTHONY ANCRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
622351
NY
163WA2000X
Administrator Registered Nurse
622351-01
GA
163WC0200X
Critical Care Medicine Registered Nurse
622351-01
GA
163WC1600X
Continuing Education/Staff Development Registered Nurse
622351-01
GA
163WW0000X
Wound Care Registered Nurse
622351-01
GA
Other
Enumeration date
08/10/2009
Last updated
09/06/2025
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