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Individual

DR. WILLIAM WALTON MIMS JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1175 COOK RD, SUITE 310, ORANGEBURG, SC 29118-8201
(803) 534-4611
(803) 534-7269
Mailing address
1175 COOK RD, SUITE 310, ORANGEBURG, SC 29118-8201
(803) 534-4611
(803) 534-7269

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5227
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PA6252
SC
Enumeration date
05/22/2006
Last updated
07/08/2007
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