IndividualActive
Albert Mims, M.D.
NPI 1609972314 · Family Medicine Physician · Lake City, SC
Provider details
- NPI number
- 1609972314
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 9352 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
148 Sauls St
Lake City, SC 29560-2631
Phone: (843) 374-3621
Fax: (843) 374-3624
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 603898
Charlotte, NC 28260-3898
Registry dates
- Enumerated
- 2006-09-16
- Last updated
- 2020-11-19
- Certified
- 2020-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.