Provider Demographics
NPI:1407957129
Name:MCGARRAH, PAMELA D (MD)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:D
Last Name:MCGARRAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11407
Mailing Address - Street 2:DEPT# 5839
Mailing Address - City:SHEFFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35660
Mailing Address - Country:US
Mailing Address - Phone:256-381-6673
Mailing Address - Fax:256-381-8091
Practice Address - Street 1:1100 S JACKSON HWY STE 250
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:AL
Practice Address - Zip Code:35660-5774
Practice Address - Country:US
Practice Address - Phone:256-381-6673
Practice Address - Fax:256-381-8091
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.36409207Y00000X
ARC8133207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR140226001Medicaid
AR140226001Medicaid
AR5L461Medicare ID - Type Unspecified