Individual
MS. PAMELA L ASADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4800 OLDE TOWNE PKWY STE 150A, MARIETTA, GA 30068-4357
(770) 509-1025
(770) 509-1884
Mailing address
2120 N BENNETT ST, TACOMA, WA 98406-2914
(253) 761-0573
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
PA10003523
WA
363A00000X
Physician Assistant
Primary
007051
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003141244E
—
GA
05
—
003141244F
—
GA
05
—
003141244G
—
GA
05
—
003141244H
—
GA
Enumeration date
03/27/2006
Last updated
10/20/2017
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