Individual
DEBRA S KIME
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
610 THIRD STREET, STE 204, MACON, GA 31201
(478) 464-2600
(478) 742-2040
Mailing address
610 THIRD STREET, STE 204, MACON, GA 31201
(478) 464-2600
(478) 742-2040
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004635
GA
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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