Individual
KIMBERLY JORDAN HOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
748 OLD NORCROSS RD, STE 100, LAWRENCEVILLE, GA 30046-3393
(770) 339-1500
(770) 995-6172
Mailing address
748 OLD NORCROSS RD, STE 100, LAWRENCEVILLE, GA 30046-3393
(770) 339-1500
(770) 995-6172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005315
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
772673258E
—
GA
Enumeration date
05/21/2008
Last updated
02/01/2017
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