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Individual

MRS. DIANA KIMBROUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
750 GLENWOOD AVE SE STE 210, ATLANTA, GA 30316-2195
(404) 905-7786
Mailing address
863 FLAT SHOALS RD SE # 110, CONYERS, GA 30094-6633
(404) 388-5265

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP269558
GA

Other

Enumeration date
06/07/2024
Last updated
11/02/2025
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