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1336874684
MADISON ALLEN MIMS
ROSWELL, GA
NPI
1336874684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: GA RN286470)
Enumeration Date
2022-07-20
Last Update Date
2022-07-20
Business Address
MADISON ALLEN MIMS WHNP-BC
1015 MANSELL RD
ROSWELL, GA 30076-1507
Phone number: 770-462-0313
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Mailing Address
MADISON ALLEN MIMS WHNP-BC
10815 MORTONS XING
ALPHARETTA, GA 30022-5626
Phone number: 478-363-4224
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