Individual
MRS. PAMELA S ABERNATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1104 PROFESSIONAL BLVD, DALTON, GA 30720-2588
(706) 226-5533
(706) 428-0033
Mailing address
4629 CHATSWORTH HIGHWAY 225 NE, RESACA, GA 30735-6536
(706) 629-8750
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R107241NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00941696A
—
GA
01
—
797349
BCBS EDI NUMBER
GA
Enumeration date
09/28/2006
Last updated
07/08/2007
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