Dallas, Pamela Nicole

Dallas, Pamela Nicole is an sole proprietor health care provider with primary practice located at 3462 Ashford Loop , Ellenwood GA 30294-3674. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Maternal Newborn, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dallas, Pamela Nicole can be contacted via phone (770) 364-2666.

Contact Information

Primary practice address
3462 Ashford Loop Ellenwood GA 30294-3674
Phone: (770) 364-2666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Maternal Newborn 163WM0102X RN242295 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN242295 Georgia

Profile Details

NPI number 1770247066
LBN Legal business name Dallas, Pamela Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2021
Last updated Aug 7th, 2023 - about last year

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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