Individual
PAMELA WHITSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4778 OLD BURNT MOUNTAIN RD, JASPER, GA 30143-2336
(770) 894-9293
Mailing address
4778 OLD BURNT MOUNTAIN RD, JASPER, GA 30143-2336
(770) 894-9293
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
LIC -2-15-21148
GA
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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