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Individual

PAMELA QUIMBLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2806 SHANNON RD, ALBANY, GA 31721-1532
(229) 288-7367
Mailing address
2806 SHANNON RD, ALBANY, GA 31721-1532
(229) 288-7367

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
09/26/2016
Last updated
09/26/2016
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