Individual
REGINA MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 HAMILTON LN, CALERA, AL 35040-8700
(205) 668-4308
(205) 668-0894
Mailing address
PO BOX 689, CALERA, AL 35040-0689
(205) 668-4308
(205) 668-0894
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-052795
AL
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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