Provider Demographics
NPI:1508859471
Name:STRICKLAND, PAMELA L (MD)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:L
Last Name:STRICKLAND
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 1:4250 CARMICHAEL COURT NORTH
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106
Mailing Address - Country:US
Mailing Address - Phone:334-593-9091
Mailing Address - Fax:334-593-9094
Practice Address - Street 1:2013 NORMANDIE DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36111-2711
Practice Address - Country:US
Practice Address - Phone:334-356-9030
Practice Address - Fax:334-593-9094
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-25
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL25115208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL203204949OtherCOMMERCIAL
AL136144Medicaid
AL051543903OtherBLUE CROSS OF ALABAMA
AL102I028860OtherMEDICARE
ALP00652332OtherMEDICARE RAILROAD
AL203204949OtherCOMMERCIAL
ALI62649Medicare UPIN
AL136144Medicaid