Individual
MS. PAMELA G SHAW-GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADVANCED NURSE PRACT
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5500
(706) 576-5896
Mailing address
1 CLEAR CRK, FORT MITCHELL, AL 36856-4433
(706) 464-7745
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN070808
GA
Other
Enumeration date
08/24/2005
Last updated
10/28/2025
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