KEATON LEIGH MIMS

CHARLESTON, SC
NPI1619228251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: SC  APN.18027RX)
Enumeration Date2012-09-23
Last Update Date2018-12-05
Business Address
Mrs. KEATON LEIGH MIMS M.S.N.
2051 CHARLIE HALL BLVD
CHARLESTON, SC 29414-5834
Phone number: 843-573-2535
Mailing Address
Mrs. KEATON LEIGH MIMS M.S.N.
2051 CHARLIE HALL BLVD
CHARLESTON, SC 29414-5834
Phone number: 843-573-2535
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