Individual
DR. KIMBERLY SUE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
361 HIGHWAY 74 N, PEACHTREE CITY, GA 30269-1102
(770) 487-0667
Mailing address
101 RIVERBIRCH WAY, SHARPSBURG, GA 30277-5219
(770) 330-0925
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2006
GA
152WC0802X
Corneal and Contact Management Optometrist
2006
GA
Other
Enumeration date
11/06/2008
Last updated
11/05/2021
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