BILLY GENE MIMS-GOODMAN

ATLANTA, GA
NPI1083673883
Former NameBILLY MIMS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN134535)
Enumeration Date2006-03-21
Last Update Date2010-11-18
Business Address
-- BILLY GENE MIMS-GOODMAN CRNA
5671 PEACHTREE DUNWOODY RD NE SUITE 680
ATLANTA, GA 30342-5000
Phone number: 404-705-6985
Mailing Address
-- BILLY GENE MIMS-GOODMAN CRNA
PO BOX 740209 DEPT 1029
ATLANTA, GA 30374-0209
Phone number: 941-360-1566
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