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Individual

KIMBERLYN JONES WALTHOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4210 COLUMBIA RD STE 2D, MARTINEZ, GA 30907-0437
(762) 224-2993
Mailing address
3801 HIGHPOINTE DR, HEPHZIBAH, GA 30815-6004
(762) 224-2993

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN155963
GU

Other

Enumeration date
05/25/2021
Last updated
05/25/2021
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