Individual
PAMELA DIANE HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2370 ROCKMART HWY STE 100, CEDARTOWN, GA 30125
(770) 748-7818
(770) 748-7819
Mailing address
420 E 2ND AVE STE 103, ROME, GA 30161-3210
(706) 509-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
060169
GA
207Q00000X
Family Medicine Physician
35236
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352362
—
SC
05
—
PENDING
—
GA
Enumeration date
11/02/2007
Last updated
03/10/2023
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