Individual
MS. SANDRA D KIMBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3735 CALIFON DR, COLUMBUS, GA 31906-4601
(706) 662-7196
(706) 940-0310
Mailing address
3735 CALIFON DR, COLUMBUS, GA 31906-4601
(706) 662-7196
(706) 940-0310
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
347C00000X
Private Vehicle
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
08/27/2013
Last updated
06/06/2019
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