Pamela Edmondson Correll, LDO

Optician · Monroe, GA

Individual Active NPI

NPI number 1710105416

Practice location

2801 Bradley Gin Rd
Monroe, GA 30656-7303
Phone
(470) 364-4824

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NPI record

NPI
1710105416
Entity type
Individual (Type 1)
Enumeration date
April 20, 2007
Last updated
March 12, 2024
Certified
March 12, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optician Primary 156FX1800X 1119 GA
Optician 156FX1800X LDO001119 GA

About Pamela Correll

Pamela Edmondson Correll, LDO is a healthcare provider registered in the NPI registry with the primary taxonomy Optician (code 156FX1800X). The practice location is 2801 Bradley Gin Rd, Monroe, GA 30656-7303. The NPI number 1710105416 was assigned on April 20, 2007 and the record was last updated on March 12, 2024.

Pamela Correll lists 2 licenses in the registry: #1119 (GA) for Optician; #LDO001119 (GA) for Optician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Pamela Edmondson Correll, LDO?

The NPI number is 1710105416.

What is the phone number of Pamela Correll?

The phone number listed for the practice location is (470) 364-4824.

Where is Pamela Correll located?

2801 Bradley Gin Rd, Monroe, GA 30656-7303.

What is the taxonomy code for Pamela Correll?

The primary taxonomy code is 156FX1800X – Optician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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