LISA DURHAM MIMS

CHARLESTON, SC
NPI1356661540
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  LL32735)
Enumeration Date2010-06-10
Last Update Date2020-07-10
Business Address
Dr. LISA DURHAM MIMS M.D.
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
Mailing Address
Dr. LISA DURHAM MIMS M.D.
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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