KEATON LEIGH MIMS

MOUNT PLEASANT, SC
NPI1619228251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: SC  APN.18027RX)
Enumeration Date2012-09-23
Last Update Date2025-02-16
Business Address
Mrs. KEATON LEIGH MIMS M.S.N.
1952 LONG GROVE DR
MOUNT PLEASANT, SC 29464-7579
Phone number: 843-971-2992
Mailing Address
Mrs. KEATON LEIGH MIMS M.S.N.
PO BOX 602108
CHARLOTTE, NC 28260-2108
Phone number: