NPI 1154310043

Jacqueline Heder Mims, MD

Practitioner Obstetrics & Gynecology Physician Winston-Salem, NC

Practice location

Address: 2927 Lyndhurst Ave, Winston-Salem, NC 27103-4005
Phone: (336) 765-9350
Fax: (336) 760-4255

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 9800639 (NC)

Other Obstetrics & Gynecology providers in North Carolina →

Registry record

NPI: 1154310043
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Oct 2005
Record last updated: 17 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.