Mack, Nathaniel David

Mack, Nathaniel David is an individual health care provider with primary practice located at 340 Magnolia Cir Bldg 1465 , Panama City FL 32403-5604. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Other Service Providers / Military Health Care Provider. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Mack, Nathaniel David can be contacted via phone (850) 283-7576.

Contact Information

Primary practice address
340 Magnolia Cir Bldg 1465 Panama City FL 32403-5604
Phone: (850) 283-7576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1285296137
Other Service Providers / Military Health Care Provider 171000000X 1285296137

Profile Details

NPI number 1285296137
LBN Legal business name Mack, Nathaniel David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2019
Last updated Sep 11th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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