Provider Demographics
NPI:1215957360
Name:DENHAM, AMY CATHERINE (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:CATHERINE
Last Name:DENHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 MERRITT DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8060
Mailing Address - Country:US
Mailing Address - Phone:919-968-0024
Mailing Address - Fax:
Practice Address - Street 1:1000 S 10TH AVE
Practice Address - Street 2:
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344-3324
Practice Address - Country:US
Practice Address - Phone:919-742-5641
Practice Address - Fax:919-742-7496
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2000-01364207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7534345OtherCIGNA PROVIDER NUMBER
NCD6581OtherMEDCOST PROVIDER NUMBER
NCH62766Medicare UPIN
NC7534345OtherCIGNA PROVIDER NUMBER