Individual
RYAN CHRISTOPHER MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 256-5300
Mailing address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 256-5300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
39655
SC
207L00000X
Anesthesiology Physician
LL39655
SC
207L00000X
Anesthesiology Physician
Primary
MD39655
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396556
—
SC
Enumeration date
04/25/2016
Last updated
12/19/2023
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