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General NPI Number Information
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NPI Number | 1184617425
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Entity Type | Individual
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Provider Name | PAMELA TINSLEY MD
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Gender | Female
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 3501 BAKER RD NW STE 100
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City | ACWORTH
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State | GA
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Zip | 30101-3706
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Country | US
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Telephone | 470-267-0620
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Fax | 770-999-2746
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Provider Business Mailing Address
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Address Line | 3501 BAKER RD NW STE 100
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City | ACWORTH
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State | GA
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Zip | 30101-3706
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Country | US
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Telephone | 470-267-0620
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Fax | 770-999-2746
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN-NP079447
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License Number State | GA
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