Provider Demographics
NPI:1831234335
Name:TROXEL, PAMELA S (DC)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:S
Last Name:TROXEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4005
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-1717
Mailing Address - Country:US
Mailing Address - Phone:770-386-7272
Mailing Address - Fax:
Practice Address - Street 1:775 WEST AVE
Practice Address - Street 2:SUITE D
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-3481
Practice Address - Country:US
Practice Address - Phone:770-386-7272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO05605111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCDMT01Medicare ID - Type Unspecified