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Individual

KIMBERLY MCFADDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3655 CANTON RD STE 201, MARIETTA, GA 30066-7614
(678) 903-5197
Mailing address
3655 CANTON RD STE 201, MARIETTA, GA 30066-7614
(678) 903-5197

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN070651
GA

Other

Enumeration date
05/02/2018
Last updated
05/02/2018
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