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Pamela G Shaw-Grant, Advanced Nurse Pract

Nurse Practitioner in Columbus, GA. Individual provider (NPI-1).

NPI number1477546489
StatusActive
Last updated in NPPESOct 28, 2025

Details

NPI
1477546489
Entity type
Individual (NPI-1)
Name
Ms. Pamela G Shaw-Grant
Credential
Advanced Nurse Pract
Sex
Female
Sole proprietor
No
Enumeration date
Aug 24, 2005
Certification date
Oct 28, 2025
Last updated
Oct 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerRN070808GAYes

Practice location

2100 Comer Ave
Columbus, GA 31904-8725

Phone 706-596-5500 · Fax 706-576-5896

Mailing address

1 Clear Crk
Fort Mitchell, AL 36856-4433

Phone 706-464-7745

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