Individual
MRS. MARY CATHERINE HNEICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2400 GORDON SMITH DR, MOBILE, AL 36617-2319
(251) 473-4423
Mailing address
5750A SOUTHLAND DR, MOBILE, AL 36693-3316
(251) 450-2211
(251) 662-7297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1677
SC
363AS0400X
Surgical Physician Assistant
1677
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1237PA
—
SC
Enumeration date
09/01/2011
Last updated
04/25/2022
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