Individual
PROF. STEPHANIE THOMPSON KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
121 PARK CENTRAL DR, 200, COLUMBIA, SC 29203-6469
(803) 252-9907
(803) 252-9906
Mailing address
121 PARK CENTRAL DR, 200, COLUMBIA, SC 29203-6469
(803) 252-9907
(803) 252-9906
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PMA711
SC
Other
Enumeration date
02/21/2006
Last updated
05/30/2013
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