Mark Matthew Mims
Otolaryngology/Facial Plastic Surgery
101 Manning Dr # 7070
Chapel Hill
, North Carolina 27514
Mark Matthew Mims
Otolaryngology/Facial Plastic Surgery
101 Manning Dr # 7070
Chapel Hill
, North Carolina 27514
(210) 241-6275
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Mark Matthew Mims
- 1 Hermann Park Ct Apt 470
- Houston, TX
- Zip : 77021-2296
- Phone : (210) 241-6275
Second Address
- Mark Matthew Mims
- 101 Manning Dr # 7070
- Chapel Hill, NC
- Zip : 27514
- Phone : (919) 843-7091
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 35702 | OK |
National Provider Identifier
| NPI | 1679991475 |
|---|---|
| Provider Name | Mark Matthew Mims |
| First Address | Houston, TX 77021-2296 |
| Second Address | Chapel Hill, NC 27514 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2014 |
| Last Update Date | 09/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.