Individual
PAMELA J GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
103 MARCLEY DR, MARTINSBURG, WV 25401-2977
(304) 263-0964
(304) 267-3899
Mailing address
12931 OAK HILL AVE, HAGERSTOWN, MD 21742-2914
(301) 797-9600
(301) 797-3854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30521
WV
Other
Enumeration date
10/26/2005
Last updated
06/02/2010
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