Individual
MRS. PAMELA Z MCCOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1001 HOLLAND AVE, PHILADELPHIA, MS 39350-2161
(601) 663-1200
(601) 663-1379
Mailing address
10301 ROAD 399, PHILADELPHIA, MS 39350-8602
(601) 663-1200
(601) 663-1379
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R672726
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124160
—
MS
Enumeration date
06/08/2006
Last updated
07/15/2013
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