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: |