Healthcare Provider Details

I. General information

NPI: 1962492306
Provider Name (Legal Business Name): PAMELA KAY BARTELS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 11/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2293 SUGAR HILL RD STE D
MARION NC
28752-7787
US

IV. Provider business mailing address

2293 SUGAR HILL RD STE D
MARION NC
28752-7787
US

V. Phone/Fax

Practice location:
  • Phone: 828-652-8727
  • Fax: 828-652-8793
Mailing address:
  • Phone: 828-652-8727
  • Fax: 828-652-8793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number32986
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: