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NPI Code Detail

MEDICARE: PAMELA GREENWOOD

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
1343900000XNon-emergency Medical Transport (VAN)92466493TN

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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