Individual
MRS. PAMELA L MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
702 13TH ST, NORTH WILKESBORO, NC 28659-4075
(336) 667-5296
(336) 667-0864
Mailing address
PO BOX 1348, NORTH WILKESBORO, NC 28659-1348
(336) 667-5296
(336) 667-0864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
100774
NC
363AM0700X
Medical Physician Assistant
Primary
100774
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102199
—
NC
Enumeration date
02/08/2007
Last updated
09/04/2013
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