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1164407029
GROVER RAY MIMS
WINSTON SALEM, NC
NPI
1164407029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NC 15124)
Enumeration Date
2005-12-13
Last Update Date
2007-07-10
Business Address
-- GROVER RAY MIMS MD
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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Mailing Address
-- GROVER RAY MIMS MD
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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