Provider Demographics
NPI:1295719011
Name:LOVE, PAMELA (PA)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:
Last Name:LOVE
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:510 N ELAM AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1150
Mailing Address - Country:US
Mailing Address - Phone:336-297-2271
Mailing Address - Fax:336-297-2282
Practice Address - Street 1:510 N ELAM AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1150
Practice Address - Country:US
Practice Address - Phone:336-297-2271
Practice Address - Fax:336-297-2282
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2024-02-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC10243363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant