Individual
KIMBERLY STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
700 SUNSET DR, SUITE 501, ATHENS, GA 30606-2293
(706) 208-0065
(706) 549-8693
Mailing address
700 SUNSET DRIVE, SUITE 501, ATHENS, GA 30606-2288
(706) 208-0065
(706) 549-8693
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN113459
GA
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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