Individual
MRS. TAMMIE MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3800 N MAIN ST, SUITE E, COLUMBIA, SC 29203-6414
(803) 348-4744
(803) 735-8047
Mailing address
3800 N MAIN ST, SUITE E, COLUMBIA, SC 29203-6414
(803) 348-4744
(803) 735-8047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2479
SC
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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