Individual
MS. PAMELA LANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6095 PROFESSIONAL PKWY, SUITE 100, DOUGLASVILLE, GA 30134-5607
(770) 920-2255
(770) 920-9963
Mailing address
6095 PROFESSIONAL PKWY, SUITE 100, DOUGLASVILLE, GA 30134-5607
(770) 920-2255
(770) 920-9963
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
01795
GA
Other
Enumeration date
10/27/2005
Last updated
12/12/2011
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