Kenneth M Mims, MD

NPI #1275501132 in Stockbridge, Georgia

Provider Information

NPI Number: 1275501132
Entity Type: Individual
Name: Kenneth M Mims, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: Mar 8, 2006
Last Updated: Oct 12, 2007

Practice Location

Address: 1133 EAGLES LANDING PKWY
City: Stockbridge
State: Georgia
ZIP Code: 30281-5085
Phone: (770) 389-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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