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Organization
GIM ENTERPRISES LLC
Active
Organization
GIM ENTERPRISES LLC
Active
Other names
Family Wellness MD
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY HODGE-SPEARS MD (PEDIATRICIAN)
(770) 707-4018
Entity
Organization
Contact information
Practice address
3625 SAVANNAH PL STE 101A, DULUTH, GA 30096-6376
(770) 707-4018
(770) 785-4488
Mailing address
3371 N BERKELEY LAKE RD NW STE 101, BERKELEY LAKE, GA 30096-4367
(770) 707-4018
(770) 785-4488
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083762025
—
GA
05
—
1174057335
—
GA
05
—
1689774382
—
GA
Enumeration date
12/04/2020
Last updated
04/24/2023
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