Individual
MRS. BRENDA TURNER MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4418 DAVE MACDONALD DR, HEPHZIBAH, GA 30815-5888
(706) 793-9530
(706) 793-9530
Mailing address
4418 DAVE MACDONALD DR, HEPHZIBAH, GA 30815-5888
(706) 793-9530
(706) 793-9530
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN085970
GA
163WC0200X
Critical Care Medicine Registered Nurse
TL206768
SC
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
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