Individual
DR. WILLIAM WALTON MIMS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 SKYLYN DR, SPARTANBURG, SC 29307-1041
(864) 573-3777
(864) 573-3261
Mailing address
PO BOX 30637, CHARLOTTE, NC 28230-0637
(704) 973-5500
(704) 973-5518
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
16145
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16145
STATE MEDICAL BOARD
SC
01
—
9701066
STATE MEDICAL BOARD
NC
05
—
Q50203
—
SC
Enumeration date
02/17/2006
Last updated
04/17/2018
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