Organization
DERRICK E. KIMBLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK E KIMBLE M.ED (CEO)
(706) 495-2351
Entity
Organization
Contact information
Practice address
2903 GALAHAD WAY, AUGUSTA, GA 30909-9147
(706) 495-2351
Mailing address
2903 GALAHAD WAY, AUGUSTA, GA 30909-9147
(706) 495-2351
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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