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NPI Code Detail

MEDICARE: PAMALA DIANA WORLEY

MEDICARE: PAMALA DIANA WORLEY
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
1101YA0400XAddiction (Substance Use Disorder) Counselor25382NC

General Provider Information

NPI Number : 1356803282
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMALA DIANA WORLEY
Provider Business Mailing Address
First Line : 6900 FARMINGDALE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-5551
Country : US
Telephone Number : 704-536-6853
Fax Number : 704-536-6045
Provider Business Practice Location Address
First Line : 6900 FARMINGDALE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-5551
Country : US
Telephone Number : 704-536-6853
Fax Number : 704-536-6045
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2019
Last Update Date : 04/02/2019

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Directions to “ PAMALA DIANA WORLEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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