Organization
TRADITIONAL NURSE TEAM TRIPODS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA ANN SANDERS RNC (FACILITATOR/WORKABEE)
(706) 550-3760
Entity
Organization
Contact information
Practice address
2803 WRIGHTSBORO RD, STE 15-139, AUGUSTA, GA 30909-3913
(706) 373-2718
Mailing address
2803 WRIGHTSBORO RD, STE 15-139, AUGUSTA, GA 30909-3913
(706) 373-2718
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN070514
GA
172V00000X
Community Health Worker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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