Individual
ADRIENNE D MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
1331 MOUNT ZION RD, MORROW, GA 30260-2357
(770) 629-3217
(770) 968-4358
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(770) 629-3217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
033152
GA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
033152
GA
Other
Enumeration date
09/07/2006
Last updated
12/24/2019
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