person
Pamela Deramus Heard
Adult Day Care Clinic/Center in College Park, Georgia
NPI 1376962670

Pamela Deramus Heard is an Adult Day Care Clinic/Center based in College Park, GA and is specialized in Adult Day Care. Pamela Deramus Heard practices in College Park, GA. The NPI Number for Pamela Deramus Heard is 1376962670 and holds a License No. 2014 NONPS-0077 (Georgia).

The current practice location address for Pamela Deramus Heard is 5380 Somerlane Trl, College Park, GA and can be reached out via phone at 678-362-7862.

Location: 5380 Somerlane Trl, College Park, GA, 30349-2040
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Provider Profile Details
NPI Number
1376962670
Provider Name
Pamela Deramus Heard
Credential
Provider Entity Type
Individual
Gender
Female
Address
5380 Somerlane Trl, College Park, GA, 30349-2040
Phone Number
678-362-7862
Fax Number
Provider Enumeration Date
04/15/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
189317268A 01 GA MEDICARE PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
5380 Somerlane Trl
City
State
Zip
30349-2040
Phone Number
678-362-7862
Fax Number
person
Provider Business Mailing Address Details
Address
5380 Somerlane Trl
City
State
Zip
30349-2040
Phone Number
678-362-7862
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
License No.
2014 NONPS-0077 (Georgia)
Definition
Definition to come...
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