Individual
KIMBERLY ANNE VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1256 BRIARCLIFF RD NE, ATLANTA, GA 30306-2636
(404) 727-3886
Mailing address
1314 HAYNES MEADOW TRL, GRAYSON, GA 30017-2816
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
70977
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001866B
—
GA
Enumeration date
04/25/2006
Last updated
07/09/2015
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