Mims, Ridgill Long

Mims, Ridgill Long is an individual health care provider with primary practice located at 1324 Commerece Dr. , Dillon SC 29536. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mims, Ridgill Long can be contacted via phone (843) 774-3351.

Contact Information

Primary practice address
1324 Commerece Dr. Dillon SC 29536
Phone: (843) 774-3351
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 207106 South Carolina

Profile Details

NPI number 1740504869
LBN Legal business name Mims, Ridgill Long
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2010
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740504869 NPPES
South Carolina MEDICAID 405127

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