Individual
DR. MITCHELL LANCE NIMMICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169
(803) 791-2480
(803) 936-4102
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-2480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042.0012414
VT
207R00000X
Internal Medicine Physician
35622
SC
208M00000X
Hospitalist Physician
042.0012414
VT
208M00000X
Hospitalist Physician
Primary
35622
SC
Other
Enumeration date
03/27/2009
Last updated
11/10/2020
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