Individual
DR. RICHARD HERMAN KIMMICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1011 STONEBRIDGE PKWY, SUITE 106, WATKINSVILLE, GA 30677-6011
(706) 310-5050
(706) 310-5053
Mailing address
1011 STONEBRIDGE PKWY, SUITE 106, WATKINSVILLE, GA 30677-6011
(706) 310-5050
(706) 310-5053
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000930
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000248278C
—
GA
Enumeration date
08/03/2006
Last updated
06/26/2012
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