Individual
MRS. KIMBERLY DENISE PEGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3869 HIGHWAY 81, LOGANVILLE, GA 30052-3918
(678) 635-8650
Mailing address
1500 WHEAT GRASS WAY, GRAYSON, GA 30017-4138
(678) 362-0570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN127796
GA
Other
Enumeration date
01/11/2007
Last updated
06/15/2020
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