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

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.