Mimbs, Eddie H
Mimbs, Eddie H is an sole proprietor health care provider with primary practice located at 1077 Jesse Jewell Pkwy Sw , Gainesville GA 30501-6103. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mimbs, Eddie H can be contacted via phone (770) 536-3329.Contact Information
Primary practice address
1077 Jesse Jewell Pkwy Sw
Gainesville GA 30501-6103
Phone: (770) 536-3329
Fax: (770) 536-0462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH009252 | Georgia |
Profile Details
| NPI number | 1881763266 |
|---|---|
| LBN Legal business name | Mimbs, Eddie H |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881763266 | NPPES |
| Georgia | Other | RPH009252 | STATE LISC |
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