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Individual

DR. PAMELA BOLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1326 EISENHOWER DR, SAVANNAH, GA 31406-3928
(912) 691-4200
(912) 691-4209
Mailing address
PO BOX 15849, SAVANNAH, GA 31416-2549
(912) 691-4200
(912) 691-4209

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
032397
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000457245C
GA
05
G32397
SC
Enumeration date
05/24/2005
Last updated
05/26/2011
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