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Individual

MRS. MORGAN LUCAS MIMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP, FNP-C

Contact information

Practice address
1023 MEDICAL CENTER PKWY STE 401, SELMA, AL 36701-6712
(334) 418-6614
Mailing address
459 COUNTY ROAD 597, VERBENA, AL 36091-4280
(205) 908-4391

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-164674
AL

Other

Enumeration date
12/22/2020
Last updated
02/02/2024
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