Gwathmey, Pamela Lester

Gwathmey, Pamela Lester is an individual health care provider with primary practice located at 142 Smithfield Road , Saint Stephens Church VA 23148-0041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gwathmey, Pamela Lester can be contacted via phone (804) 769-0103.

Contact Information

Primary practice address
142 Smithfield Road Saint Stephens Church VA 23148-0041
Fax: (804) 769-0508
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101038630 Virginia

Profile Details

NPI number 1205867645
LBN Legal business name Gwathmey, Pamela Lester
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jun 23rd, 2021 - about 5 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 1205867645 NPPES
Virginia MEDICAID 005823714
Virginia Other 6967223
Virginia Other 96465
Virginia Other 10000353
Virginia Other 396694
Virginia Other 12465
Virginia Other 4136176

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