Healthcare Provider Details

I. General information

NPI: 1467411215
Provider Name (Legal Business Name): PAMELA RENEE POPE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 07/06/2021
Certification Date: 07/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 E COLLEGE ST
WARSAW NC
28398-2104
US

IV. Provider business mailing address

325 SOUTH WALTON AVENUE
BENSON NC
27504
US

V. Phone/Fax

Practice location:
  • Phone: 910-659-1088
  • Fax: 888-446-3125
Mailing address:
  • Phone: 919-874-1003
  • Fax: 919-894-1336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number900355
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: