Organization
INDIVIDUAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA ANNE BALL REGISTERED NURSE (RN)
(706) 594-0193
Entity
Organization
Contact information
Practice address
2484 GA HIGHWAY 100, HOGANSVILLE, GA 30230-3719
(706) 594-0193
Mailing address
2484 GA HIGHWAY 100, HOGANSVILLE, GA 30230-3719
(706) 594-0193
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
RN117323
GA
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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