Individual
KIMBERLEY JEDDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, CEAS
Contact information
Practice address
1240 EAGLES LANDING PKWY, SUITE 300, STOCKBRIDGE, GA 30281-5170
(770) 506-4350
(770) 506-9860
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT06775
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT006775
STATE LISC NUMBER
GA
Enumeration date
11/06/2006
Last updated
05/04/2015
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