Individual
MR. JOHN ROBERT MIMMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, EDS
Contact information
Practice address
25 JEFFERSON ST STE T1, CLARKSVILLE, TN 37040-4901
(931) 436-7119
Mailing address
4212 MCGREGOR RD, ADAMS, TN 37010-9141
(931) 436-7119
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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