| Doctor Name: | MRS. BRENDA TURNER MIMS |
| NPI Number: | 1043546518 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | TL206768 |
| Business Practice Address: | 4418 Dave Macdonald Dr Hephzibah, GA - 308155888 |
| Business Phone Number: | 7067939530 |
| Business Fax Number: | 7067939530 |
| Mailing Address: | 4418 Dave Macdonald Dr, HEPHZIBAH |
| State: | GA |
| Postal Code: | 308155888 |
| Phone Number: | 7067939530 |
| Fax Number: | 7067939530 |
| NPI Enumeration Date: | 10/19/2009 |
| NPI Last Update Date: | 10/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | TL206768 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |