Individual
PAMELA MCCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 WHITETAIL LN, PULASKI, TN 38478-8194
(931) 424-1793
Mailing address
113 WHITETAIL LN, PULASKI, TN 38478-8194
(931) 478-0876
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629499512
—
TN
Enumeration date
12/19/2013
Last updated
12/20/2019
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