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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 1629054903 NPPES
Florida MEDICAID 372525100

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