Provider Demographics
NPI:1932318342
Name:LITTLES, PAMELA BOOTH (MD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:BOOTH
Last Name:LITTLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:BOOTH
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:49 W MERCURY BLVD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-2508
Mailing Address - Country:US
Mailing Address - Phone:757-269-9980
Mailing Address - Fax:757-330-0770
Practice Address - Street 1:49 W MERCURY BLVD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-2508
Practice Address - Country:US
Practice Address - Phone:757-269-9980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD472045207Q00000X
WI57686207Q00000X
VA0101263529207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine