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PAMELA SHIRLEY CRNP

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1902450281

Individual Registrant:
 PAMELA  SHIRLEY CRNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
52 S VALLEY AVE STE B  COLLINSVILLE, AL 35961-3263 US
Tel: 256-524-3090  Fax: 256-524-2885

Contact information for business:
52 S VALLEY AVE STE B  COLLINSVILLE, AL 35961-3263 US
Tel: 256-524-3090  Fax: 256-524-2885

Registration Information:
NPI: 1902450281
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AL1-139230

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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