Individual
ALISON MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
231 HUNTING RIDGE CIR, ROCK SPRING, GA 30739-5022
(423) 802-0169
Mailing address
231 HUNTING RIDGE CIR, ROCK SPRING, GA 30739-5022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-121145
AL
163W00000X
Registered Nurse
173545
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN19599
TN
Other
Enumeration date
11/04/2014
Last updated
02/06/2015
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