Individual
PAM SAHLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2121A BELLEVUE RD, DUBLIN, GA 31021-2998
(478) 272-1190
(478) 275-6649
Mailing address
2121A BELLEVUE RD, DUBLIN, GA 31021-2998
(478) 272-1190
(478) 275-6649
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
081806
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300030912A
—
GA
01
—
582109771
TAX ID
GA
Enumeration date
10/29/2013
Last updated
10/29/2013
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