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Individual

MRS. KIMBERLY A DELAIGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
3475 RIVERWATCH PARKWAY, SUITE 310, MARTINEZ, GA 30907
(706) 447-2461
(706) 447-2465
Mailing address
5047 SUSSEX DR, EVANS, GA 30809-8232
(706) 836-2883
(706) 504-3841

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN198576
GA

Other

Enumeration date
10/22/2018
Last updated
10/22/2018
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