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Pamela Susan Averett, CRNA

Nurse Anesthetist, Certified Registered in Dothan, AL. Individual provider (NPI-1).

NPI number1407817331
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1407817331
Entity type
Individual (NPI-1)
Name
Pamela Susan Averett
Credential
CRNA
Sex
Female
Sole proprietor
No
Enumeration date
Mar 30, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered1041591ALYes

Practice location

4370 W Main Street
Dothan, AL 36305

Phone 334-793-5000 · Fax 334-615-8419

Mailing address

Po Box 6907
Dothan, AL 36302

Phone 334-793-5000 · Fax 334-615-8419

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