Most Relevant Information
Provider Data
| NPI Number: | 1003536152 |
| Provider Name: | PAMELA DENISE SHIPMAN LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LPN055235 |
Most Important Dates
| Enumeration Date: | 08/30/2022 |
| Last Updated: | 08/30/2022 |
Provider Practice Location
4271 S LEE ST STE 101102
BUFORD
GA
305183710
Practice Location Phone/Fax
| Phone: | 6787658160 |
| Fax: |
Provider Mailing Location
4271 S LEE ST STE 101102
BUFORD
GA
305183710
Provider Mailing Phone/Fax
| Phone: | 6787658160 |
| Fax: |