Juba, Pamela Lynn
Juba, Pamela Lynn is an individual health care provider with primary practice located at 9330 Medical Plaza Dr , Charleston SC 29406-9104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Juba, Pamela Lynn can be contacted via phone (843) 847-3225.Contact Information
Primary practice address
9330 Medical Plaza Dr
Charleston SC 29406-9104
Phone: (843) 847-3225
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME61937 | Florida |
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ME61937 | Florida |
Profile Details
NPI number | 1629054903 |
---|---|
LBN Legal business name | Juba, Pamela Lynn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 19th, 2005 |
Last updated | Jun 13th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629054903 | NPPES |
Florida | MEDICAID | 372525100 |
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