Provider Demographics
NPI:1770579799
Name:THURMAN, ANNE F (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:F
Last Name:THURMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:FRANCIS
Other - Last Name:BATEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11650 ALPHARETTA HWY SUITE 100
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076
Mailing Address - Country:US
Mailing Address - Phone:404-596-5670
Mailing Address - Fax:770-338-9103
Practice Address - Street 1:11650 ALPHARETTA HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076
Practice Address - Country:US
Practice Address - Phone:404-596-5670
Practice Address - Fax:770-338-9103
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-26
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA5801363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I975375Medicare PIN
S48160Medicare UPIN
OH0930309Medicaid