DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GREGORY S MIMS II, MD

Active

MR. GREGORY S MIMS II, MD is a Family Medicine healthcare provider located in BAYOU LA BATRE, Alabama. NPI 1629064910 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BAYOU LA BATRE, AL

Registration Details

NPI Number
1629064910
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2005 (20.894892364071 yrs)
Last Updated
Mar 7, 2023
Licenses
MD069739L (PA)
23477 (WV)
MD.29861 (AL)

Practice Information

Address
13833 TAPIA AVE
BAYOU LA BATRE, AL, 365092515
Browse AL providers · Browse ZIP 36509
Phone
2518244985
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in BAYOU LA BATRE, AL

Name Credential NPI
KIMBERLEY E JONGEBLOED MD 1720057490
DR. REGINA M BENJAMIN MD 1033188339
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.