Individual
DR. PAMELA GALE VICK-BOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 MOUNT ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, JONESBORO, GA 30236
(404) 677-6304
(404) 677-7340
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
(404) 677-7340
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2001016
NC
208VP0014X
Interventional Pain Medicine Physician
Primary
057855
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891262A
—
NC
Enumeration date
05/13/2006
Last updated
02/09/2022
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