Individual
DR. PAMELLA PETRINA CHARLES-PRYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER, DULUTH, GA 30096-4506
(770) 931-6012
(770) 806-1383
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
(770) 806-1383
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
058155
GA
173000000X
Legal Medicine
Primary
05B155
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220156218
—
GA
Enumeration date
08/07/2006
Last updated
01/10/2022
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