Search › Georgia › 363LF0000X
Pamela Dallas
NPI 1770247066 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3462 Ashford Loop
Ellenwood, GA 30294 - Phone
- (770) 364-2666
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163WM0102X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-07
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