Charles-Pryce, Pamella Petrina

Charles-Pryce, Pamella Petrina is an individual health care provider with primary practice located at 3650 Steve Reynolds Blvd Kaiser Permanente Gwinnett Medical Center, Duluth GA 30096-4506. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Charles-Pryce, Pamella Petrina can be contacted via phone (770) 931-6012.

Contact Information

Primary practice address
3650 Steve Reynolds Blvd Kaiser Permanente Gwinnett Medical Center Duluth GA 30096-4506
Phone: (770) 931-6012
Fax: (770) 806-1383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 058155 Georgia
Other Service Providers / Legal Medicine 173000000X 05B155 Georgia

Profile Details

NPI number 1629087465
LBN Legal business name Charles-Pryce, Pamella Petrina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jan 10th, 2022 - about 2 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 1629087465 NPPES
Georgia MEDICAID 220156218

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