Individual
MS. KIMBERLY BENITA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30045-8444
(770) 339-5377
(770) 339-5016
Mailing address
1212 OTELLO AVE, CLARKSTON, GA 30021-2848
(404) 292-8142
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN073586
GA
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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