Provider Demographics
NPI:1528029493
Name:KANTOROWSKI, PAMELA G (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:G
Last Name:KANTOROWSKI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:SOUTHERN PINES WOMENS HEALTH CENTER PC
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28388-0749
Mailing Address - Country:US
Mailing Address - Phone:910-692-7928
Mailing Address - Fax:910-692-5962
Practice Address - Street 1:145 APPLECROSS RD
Practice Address - Street 2:SOUTHERN PINES WOMENS HEALTH CENTER PC
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387
Practice Address - Country:US
Practice Address - Phone:910-692-7928
Practice Address - Fax:910-692-5962
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2010-02-25
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Provider Licenses
StateLicense IDTaxonomies
NC9400867207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
9663436OtherGHI
86845OtherMEDCOST
EH1000855OtherFIRST CAROLINA CARE
SCQ0086AMedicaid
NC894782TMedicaid
160051635OtherMEDICARE RAILROAD
4782TOtherBLUE CROSS BLUE SHIELD
G35284Medicare UPIN
EH1000855OtherFIRST CAROLINA CARE