Provider Demographics
NPI:1508859471
Name:STRICKLAND, PAMELA LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:LYNN
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 NORTHSIDE CHEROKEE BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115-8022
Mailing Address - Country:US
Mailing Address - Phone:770-721-9390
Mailing Address - Fax:770-721-9391
Practice Address - Street 1:460 NORTHSIDE CHEROKEE BLVD STE 140
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-8022
Practice Address - Country:US
Practice Address - Phone:770-721-9390
Practice Address - Fax:770-721-9391
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL25115208600000X
GA102022208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL203204949OtherCOMMERCIAL
AL102I028860OtherMEDICARE
AL051543903OtherBLUE CROSS OF ALABAMA
ALP00652332OtherMEDICARE RAILROAD
AL136144Medicaid
AL203204949OtherCOMMERCIAL
ALI62649Medicare UPIN
AL136144Medicaid