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Organization

GIM ENTERPRISES LLC

Active
Other names
Family Wellness MD
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY HODGE-SPEARS MD (PEDIATRICIAN)
(770) 707-4018
Entity
Organization

Contact information

Practice address
3625 SAVANNAH PL STE 101A, DULUTH, GA 30096-6376
(770) 707-4018
(770) 785-4488
Mailing address
3371 N BERKELEY LAKE RD NW STE 101, BERKELEY LAKE, GA 30096-4367
(770) 707-4018
(770) 785-4488

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1083762025
GA
05
1174057335
GA
05
1689774382
GA
Enumeration date
12/04/2020
Last updated
04/24/2023
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