Asadi, Pamela L

Asadi, Pamela L is an individual health care provider with primary practice located at 4800 Olde Towne Pkwy Ste 150A , Marietta GA 30068-4357. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Asadi, Pamela L can be contacted via phone (770) 509-1025.

Contact Information

Primary practice address
4800 Olde Towne Pkwy Ste 150A Marietta GA 30068-4357
Phone: (770) 509-1025
Fax: (770) 509-1884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X PA10003523 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 007051 Georgia

Profile Details

NPI number 1427018068
LBN Legal business name Asadi, Pamela L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Oct 20th, 2017 - about 9 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 1427018068 NPPES
Georgia MEDICAID 003141244G
Georgia MEDICAID 003141244F
Georgia MEDICAID 003141244H
Georgia MEDICAID 003141244E

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