Individual
DR. KIMBERLY WILLIAMS CHUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3229 HIGHWAY 34 E, SUITE 101, NEWNAN, GA 30265-2195
(770) 304-0034
(770) 304-3439
Mailing address
PO BOX 72029, NEWNAN, GA 30271-2029
(770) 304-0034
(770) 304-3439
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011845
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
453005904D
—
GA
Enumeration date
03/27/2007
Last updated
07/21/2023
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