Garrett, Pam

Garrett, Pam is an individual health care provider with primary practice located at 350 Country Club Dr Suite D, Stockbridge GA 30281-9084. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Garrett, Pam can be contacted via phone (770) 474-1919.

Contact Information

Primary practice address
350 Country Club Dr Suite D Stockbridge GA 30281-9084
Fax: (770) 474-7832
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN070819 Georgia

Profile Details

NPI number 1649251844
LBN Legal business name Garrett, Pam
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Oct 6th, 2011 - about 13 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 1649251844 NPPES
Georgia MEDICAID 00729396A

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