Individual
KIMBERLY CECIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1218 ALICE ST, WAYCROSS, GA 31501-4525
(912) 590-0973
(912) 590-0180
Mailing address
5191 FIRST COAST TECH PKWY FL 3, JACKSONVILLE, FL 32224-0609
(904) 223-3321
(904) 223-2169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10243
GA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/31/2021
Last updated
10/28/2024
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