Search › Georgia › 183500000X
Mark Pam
NPI 1306568258 · on the registry since 2022 · sole proprietor
Practice
- Address
- 202 Ne Dykes Street
Cochran, GA 31014 - Phone
- (478) 934-9431
- Organisation at this address
- Georgia Cvs Pharmacy, L.L.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia