MEDICARE: DR. PAMELA ANN OVERMYER MD

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	ME92432	FL
2	207R00000X	Internal Medicine Physician	K2770	TX

General Provider Information

NPI Number	:	1659345114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA ANN OVERMYER MD

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

Provider Business Practice Location Address
First Line	:	238 S SUDDUTH PL
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	01/21/2015

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Directions to “ DR. PAMELA ANN OVERMYER MD” Practice Location

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