Provider Demographics
NPI:1043981335
Name:PAMS, CONSTANCE CATINA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:CATINA
Last Name:PAMS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 PIEDMONT RD.
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-3636
Mailing Address - Country:US
Mailing Address - Phone:770-795-9844
Mailing Address - Fax:
Practice Address - Street 1:100 PIEDMONT RD.
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-1911
Practice Address - Country:US
Practice Address - Phone:770-795-9844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-26
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN2747970363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily