Provider Demographics
NPI:1578644654
Name:LOVE, PAMELA D (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:D
Last Name:LOVE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5221 PARAMOUNT PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5490
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6701B NC HIGHWAY 135
Practice Address - Street 2:
Practice Address - City:MAYODAN
Practice Address - State:NC
Practice Address - Zip Code:27027-8487
Practice Address - Country:US
Practice Address - Phone:336-635-8616
Practice Address - Fax:336-635-6868
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2023-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY198973207Q00000X
NC38268207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCF16445Medicare UPIN