Individual
MRS. KEATON LEIGH MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N.
Contact information
Practice address
1952 LONG GROVE DR, MOUNT PLEASANT, SC 29464-7579
(843) 971-2992
(843) 971-2998
Mailing address
PO BOX 602108, CHARLOTTE, NC 28260-2108
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN.18027RX
SC
Other
Enumeration date
09/23/2012
Last updated
02/16/2025
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