Individual provider · Type 1 NPI
Mary Grace Mims
Student in an Organized Health Care Education/Training Program · Pamplico, SC
NPI number
1720900095
Active
Practice location
6830 Francis Marion Rd
Pamplico, SC 29583-6900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2 other providers at this address
About NPI 1720900095
Mary Grace Mims's National Provider Identifier is 1720900095, issued on Jul 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pamplico, SC. The record was last updated on Jul 28, 2026.