Individual
MRS. KIMBERLY MICHEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1400 RIVER PL, BRASELTON, GA 30517-5600
(770) 848-8000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN256254
GA
363LS0200X
School Nurse Practitioner
RN256254
GA
Other
Enumeration date
01/14/2020
Last updated
01/21/2025
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