Individual
DR. DAVID MATTHEW MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
24982 US HIGHWAY 31, JEMISON, AL 35085-7830
(205) 688-3303
(205) 688-3303
Mailing address
24982 US HIGHWAY 31, JEMISON, AL 35085-7830
(205) 688-3303
(205) 688-3303
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2043
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-12414
BCBS PROVIDER NUMBER
AL
Enumeration date
10/06/2006
Last updated
07/08/2007
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