Individual
PAMELA BILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
4636 BREAKWATER WAY, MARIETTA, GA 30066-6710
(470) 428-1321
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN095383
GA
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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