| Doctor Name: | GEORGANNA PATE |
| NPI Number: | 1235476938 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 1-056278 |
| Business Practice Address: | 106 W Myrtle Ave Foley, AL - 365351935 |
| Business Phone Number: | 2519435437 |
| Business Fax Number: | 2519433227 |
| Mailing Address: | 106 W Myrtle Ave, FOLEY |
| State: | AL |
| Postal Code: | 365351935 |
| Phone Number: | 2519435437 |
| Fax Number: | 2519433227 |
| NPI Enumeration Date: | 01/15/2013 |
| NPI Last Update Date: | 01/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 1-056278 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |