| Doctor Name: | MS. PAMELA BANNERMAN-SMITH |
| NPI Number: | 1952775546 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | CSAC-16554 |
| Business Practice Address: | 319 N Sycamore St Rose Hill, NC - 28458 |
| Business Phone Number: | 9102841486 |
| Business Fax Number: | |
| Mailing Address: | 132 Nelson St, Po Bx 312 ROSE HILL |
| State: | NC |
| Postal Code: | 28458 |
| Phone Number: | 9102841486 |
| Fax Number: | |
| NPI Enumeration Date: | 11/19/2015 |
| NPI Last Update Date: | 11/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CSAC-16554 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |