Individual
MRS. PAMELA ANN HERVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 MCLIN CIR, FLORENCE, MS 39073-7939
(601) 845-6651
(601) 845-0230
Mailing address
475 MCLIN CIR, FLORENCE, MS 39073-7939
(601) 845-6651
(601) 845-0230
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
04129817
MS
171M00000X
Case Manager/Care Coordinator
08700721
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04129817
—
MS
05
—
08700721
—
MS
Enumeration date
01/09/2012
Last updated
01/09/2012
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