Individual
JAMES WHITMAN MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-9440
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-1332
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
200000902
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126KK
BCBS
NC
05
—
3004496000
—
WV
01
—
36194
PARTNERS
NC
05
—
6500846
—
VA
01
—
7768302
AETNA
—
05
—
89126KK
—
NC
01
—
98105
MEDCOST
NC
05
—
Q0090O
—
SC
Enumeration date
11/30/2005
Last updated
08/14/2019
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