Individual
KIMBERLY MONIQUE FRYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGNP-C
Contact information
Practice address
253 E HIGHWAY 78, TEMPLE, GA 30179-4348
(770) 526-4501
Mailing address
PO BOX 1367, TEMPLE, GA 30179-1367
(770) 562-4501
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN174123
GA
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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