Individual
MR. DARRYL JAMES MIMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
941 S MCPHERSON CHURCH RD, FAYETTEVILLE, NC 28303-5369
(910) 286-4784
Mailing address
76 OLD ENGLISH LN, SPRING LAKE, NC 28390-7429
(973) 494-4906
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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