Organization
PERSONAL PRIMARY CARE OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY FARR NURSE PRACTITIONER (PROVIDER)
(678) 315-9943
Entity
Organization
Contact information
Practice address
1295 CHIPPEWA OAK DR, DACULA, GA 30019-1288
(678) 315-9943
Mailing address
1295 CHIPPEWA OAK DR, DACULA, GA 30019-1288
(678) 315-9943
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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