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Individual

PAMELA GRESHAM POMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
393 MAXHAM RD STE A&B, AUSTELL, GA 30168-5539
(770) 732-6007
(770) 732-8242
Mailing address
393 MAXHAM RD STE A&B, AUSTELL, GA 30168-5539
(770) 732-6007
(770) 732-8242

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN054213
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
685604753C
GA
01
RN054213
NURSING LICENSE
GA
Enumeration date
10/13/2006
Last updated
09/23/2008
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