Individual
CHARLES ANTHONY ANCRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
20 RIVERSTONE DR, COVINGTON, GA 30014-5027
(404) 510-5027
Mailing address
20 RIVERSTONE DR, COVINGTON, GA 30014-5027
(404) 510-5027
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us