Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 008301 | GA |
N | 111NI0900X | Internist | 008301 | GA |
N | 207RG0300X | Geriatric Medicine | 249102 | NC |
Y | 207RG0300X | Geriatric Medicine | 83495 | SC |
NPI | 1114376738 |
---|---|
Provider Name | Dr. Lauren Mims |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-3875 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2016 |
Last Update Date | 29/12/2021 |