Individual
SUSAN R. MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11 VANDERBILT PARK DR, ASHEVILLE, NC 28803-1700
(828) 213-1740
Mailing address
PO BOX 15268, ASHEVILLE, NC 28813-0268
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9501606
NC
208000000X
Pediatrics Physician
Primary
9501606
NC
Other
Enumeration date
11/01/2006
Last updated
04/27/2009
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