Individual
DR. KIMBERLY R WOLLENHAUPT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
215 BRIGHTON PATH, PEACHTREE CITY, GA 30269-3262
(770) 815-5584
Mailing address
215 BRIGHTON PATH, PEACHTREE CITY, GA 30269-3262
(770) 815-5584
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
047683
GA
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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