Individual
EMILY MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 DURALEIGH RD, SUITE 300, RALEIGH, NC 27612-8106
(919) 215-6589
Mailing address
3100 DURALEIGH RD STE 300, RALEIGH, NC 27612-8104
(919) 215-6589
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2017-00530
NC
Other
Enumeration date
04/27/2014
Last updated
12/03/2019
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