Heather Mims Pate
Obstetrics & Gynecology in Panama City, FL. Individual provider (NPI-1).
NPI number1982105201
StatusActive
Last updated in NPPESFeb 23, 2022
Details
- NPI
- 1982105201
- Entity type
- Individual (NPI-1)
- Name
- Heather Mims Pate
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2018
- Certification date
- Feb 23, 2022
- Last updated
- Feb 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | OS18457 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
103 E 23rd StPanama City, FL 32405-4501
Phone 850-769-0338
Mailing address
4341 Thomas DriveBox J29
Panama City, FL 32408
Phone 205-394-1960
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