Individual
HEATHER MIMS PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 E 23RD ST, PANAMA CITY, FL 32405-4501
(850) 769-0338
Mailing address
4341 THOMAS DRIVE, BOX J29, PANAMA CITY, FL 32408
(205) 394-1960
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS18457
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/22/2018
Last updated
02/23/2022
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