Individual
PAMELA ANNE STAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3495 PIEDMONT RD, SE, ATLANTA, GA 30305-1717
(404) 429-1048
Mailing address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
03/17/2018
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