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MRS. PAMELA S ABERNATHY FNP-C
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1568554632
Individual Registrant:MRS. PAMELA S ABERNATHY FNP-C
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1104 PROFESSIONAL BLVD DALTON, GA 30720-2588 US
Tel: 706-226-5533 Fax: 706-428-0033
Tel: 706-226-5533 Fax: 706-428-0033
Contact information for business:
4629 CHATSWORTH HIGHWAY 225 NE RESACA, GA 30735-6536 US
Tel: 706-629-8750 Fax: --
Tel: 706-629-8750 Fax: --
Registration Information:
NPI: 1568554632
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | GA | R107241NP |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00941696A | GA | 05 | |
| BCBS EDI NUMBER | 797349 | GA | 01 |
