Individual
KEVIN RAY MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3180 THOMASINA MCPHERSON BLVD, NORTH CHARLESTON, SC 29405-8283
(843) 745-2184
(843) 745-2182
Mailing address
3180 THOMASINA MCPHERSON BLVD, NORTH CHARLESTON, SC 29405-8283
(843) 745-2184
(843) 745-2182
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
247198
SC
Other
Enumeration date
04/04/2026
Last updated
04/04/2026
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