MEDICARE: PAMELA GREENWOOD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	92466493	TN

General Provider Information

NPI Number	:	1255057683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA GREENWOOD

Provider Business Mailing Address
First Line	:	7119 BROOK MILL CV
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-4193
Country	:	US
Telephone Number	:	901-334-7116
Fax Number	:

Provider Business Practice Location Address
First Line	:	7119 BROOK MILL CV
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-4193
Country	:	US
Telephone Number	:	901-334-7116
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2022
Last Update Date	:	10/17/2022

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Directions to “ PAMELA GREENWOOD ” Practice Location

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