Powell, Pamela W

Powell, Pamela W is an sole proprietor health care provider with primary practice located at 4711 Woodland Pt , Valdosta GA 31602-0823. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Powell, Pamela W can be contacted via phone (229) 219-7790.

Contact Information

Primary practice address
4711 Woodland Pt Valdosta GA 31602-0823
Phone: (229) 219-7790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN063932 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN063932 Georgia

Profile Details

NPI number 1184805400
LBN Legal business name Powell, Pamela W
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2007
Last updated Sep 3rd, 2010 - about 16 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 1184805400 NPPES
Georgia MEDICAID 308816200
Georgia MEDICAID 000822412E

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