Abernathy, Pamela S

Abernathy, Pamela S is an individual health care provider with primary practice located at 1104 Professional Blvd , Dalton GA 30720-2588. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Abernathy, Pamela S can be contacted via phone (706) 226-5533.

Contact Information

Primary practice address
1104 Professional Blvd Dalton GA 30720-2588
Fax: (706) 428-0033
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R107241NP Georgia

Profile Details

NPI number 1568554632
LBN Legal business name Abernathy, Pamela S
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568554632 NPPES
Georgia MEDICAID 00941696A
Georgia Other 797349

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