Individual
CHARMAINE QUIRIMIT PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4425 PAULSEN ST, SAVANNAH, GA 31405
(912) 355-6615
(912) 351-0645
Mailing address
459 HIGHWAY 119 S, SPRINGFIELD, GA 31329-3021
(912) 754-0175
(912) 754-6395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
203691
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023410586
—
GA
Enumeration date
09/16/2014
Last updated
05/26/2018
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