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1326512732
TANYA LYNN MIMS
AUGUSTA, GA
NPI
1326512732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN154277)
Enumeration Date
2019-01-18
Last Update Date
2021-04-14
Business Address
Mrs. TANYA LYNN MIMS FNP-BC
1120 15TH ST BG-1019
AUGUSTA, GA 30912-0004
Phone number: 706-721-3531
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Mailing Address
Mrs. TANYA LYNN MIMS FNP-BC
1120 15TH ST BG-1019
AUGUSTA, GA 30912-0004
Phone number: 706-721-3531
Copy
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