Individual
DR. PAMELA JOCELYN ADRIENNE HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4500 RIVERSIDE DR, SUITE B, DANVILLE, VA 24541-5167
(434) 710-4305
(434) 202-5462
Mailing address
PO BOX 10758, DANVILLE, VA 24543-5013
(434) 710-4305
(434) 202-5462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102201385
VA
208D00000X
General Practice Physician
0102201385
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407685100
—
MD
Enumeration date
07/10/2006
Last updated
11/19/2013
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