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Individual

MS. PAMELA G COLEMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1640 POWERS FERRY RD, BLDG 7, STE 100, MARIETTA, GA 30067-5491
(770) 988-9200
(770) 988-9296
Mailing address
1640 POWERS FERRY RD, BLDG 7, STE 100, MARIETTA, GA 30067-5491
(770) 988-9200
(770) 988-9296

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0749
NJ

Other

Enumeration date
05/08/2011
Last updated
05/10/2011
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