Individual
SARAH BURNHAM KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7117 U S HIGHWAY 98 STE 10, HATTIESBURG, MS 39402-1757
(601) 450-4320
(601) 450-4323
Mailing address
875 UNION AVE STE S301, MEMPHIS, TN 38103-3513
(901) 448-6213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3924-17
MS
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
OR-580-20
MS
Other
Enumeration date
10/22/2018
Last updated
10/07/2020
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