Basic Information
| Provider Information | |||||||||
| NPI: | 1972678571 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SINCLAIR | ||||||||
| FirstName: | PAMELA | ||||||||
| MiddleName: | RECKTENWALD | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 19305 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282199305 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1656 RIVERCHASE BLVD | ||||||||
| Address2: | STE 1400 | ||||||||
| City: | ROCK HILL | ||||||||
| State: | SC | ||||||||
| PostalCode: | 297322084 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8033299088 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2006 | ||||||||
| LastUpdateDate: | 09/28/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 2011-01714 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RH0003X | 2011-01714 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207RX0202X | 2011-01714 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology |
No ID Information.