Individual
MR. GREGORY S MIMS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1322 LOCUST AVE, FAIRMONT, WV 26554-1436
(304) 366-0700
(304) 366-9529
Mailing address
1322 LOCUST AVE, FAIRMONT, WV 26554-1436
(304) 366-0700
(304) 366-9529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23477
WV
207Q00000X
Family Medicine Physician
Primary
MD.29861
AL
207Q00000X
Family Medicine Physician
MD069739L
PA
Other
Enumeration date
09/22/2005
Last updated
04/21/2026
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