Individual
KIMBERLY SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
803 MAGNOLIA WAY NW APT 1413, ATLANTA, GA 30314-5001
(678) 505-0262
Mailing address
803 MAGNOLIA WAY NW APT 1413, ATLANTA, GA 30314-5001
(678) 505-0262
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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