Individual
KIMBERLY WOMACK HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
735 GLYNN STREET SOUTH, FAYETTEVILLE, GA 30214
(770) 461-4126
(404) 785-8574
Mailing address
735 GLYNN STREET SOUTH, FAYETTEVILLE, GA 30214
(770) 461-4126
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RN119459
GA
Other
Enumeration date
08/14/2006
Last updated
10/31/2024
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