Individual
GUATEMALA KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3240 S COBB DR SE, SMYRNA, GA 30080-4194
(770) 433-3447
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN250911
GA
Other
Enumeration date
12/31/2016
Last updated
01/04/2017
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