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1275501132
KENNETH M MIMS
STOCKBRIDGE, GA
NPI
1275501132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: GA 045298)
Enumeration Date
2006-03-08
Last Update Date
2007-10-12
Business Address
KENNETH M MIMS MD
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281-5085
Phone number: 770-389-2200
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Mailing Address
KENNETH M MIMS MD
PO BOX 102966
ATLANTA, GA 30368-2966
Phone number: 770-237-1561
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