Individual
KIMBERLY WINSTON-MICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
6796 BROWNS MILL WALK, LITHONIA, GA 30038-4553
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN282700
GA
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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