MEDICARE: PAMELA A. OVERMYER, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1629265400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAMELA A. OVERMYER, PA

Provider Business Mailing Address
First Line	:	238 S SUDDUTH PLACE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32404-6741
Country	:	US
Telephone Number	:	850-215-4034
Fax Number	:	850-215-4036

Provider Business Practice Location Address
First Line	:	238 S SUDDUTH PLACE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32404-6741
Country	:	US
Telephone Number	:	850-215-4034
Fax Number	:	850-215-4036

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PAMELA ANN OVERMYER
Credential	:	M.D.
Telephone Number	:	850-215-4034

Provider Enumeration Date	:	09/26/2007
Last Update Date	:	01/21/2015

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