Individual
DR. ANNICK STAM-CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11930 DEMOCRACY DR, RESTON, VA 20190-5624
(888) 663-6331
(415) 252-7176
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101239148
VA
207Q00000X
Family Medicine Physician
K0560
TX
Other
Enumeration date
12/12/2006
Last updated
03/14/2025
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