Pamela Adams, LPN

Individual provider Active NPI Licensed Practical Nurse · Savannah, GA

NPI 1376895185 · NPPES record last updated Oct 4, 2012

Key facts

NPI
1376895185
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
084190 (GA)
Practice address
515 E 63Rd St
Savannah, GA 31405-4300
Phone
(912) 272-8615
NPI assigned
Oct 4, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
084190GAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 084190 GA Yes

Addresses

Primary practice location

515 E 63Rd St
Savannah, GA 31405-4300

Mailing address

PO Box 524
Savannah, GA 31402-0524
Phone (912) 272-8615

Other providers in Savannah, GA

All providers in Savannah, GA · Licensed Practical Nurse in Georgia

Sources for this page

Verify at the official NPI Registry.