Individual
KIMBERLY M. WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-6104
(252) 744-6148
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8243
NC
235Z00000X
Speech-Language Pathologist
O1-0000989
DE
Other
Enumeration date
11/09/2007
Last updated
03/12/2024
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