Individual
CAROLYN OLIVE MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
204 CHARLES ST., ST. GEORGE, SC 29477
(843) 563-3247
Mailing address
204 CHARLES ST, SAINT GEORGE, SC 29477-2024
(843) 563-3247
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
21281
SC
Other
Enumeration date
05/04/2006
Last updated
04/28/2010
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