Individual
KIMBERELY J WINDHAM-COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 765-7000
Mailing address
3480 PRESTON RIDGE RD STE 600, CREDENTIALING DEPT, ALPHARETTA, GA 30005-5462
(770) 300-0101
(770) 300-0429
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
040817
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000828858C
—
GA
05
—
003163454BH
—
GA
01
—
P00365112
RAILROAD MEDICARE
GA
Enumeration date
07/11/2006
Last updated
11/18/2025
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