Individual
KIMBERLY ATIANZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
(706) 721-9286
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
23863
MS
207RC0000X
Cardiovascular Disease Physician
A112559
CA
207RC0000X
Cardiovascular Disease Physician
MD60747134
WA
207RI0011X
Interventional Cardiology Physician
131693
MT
207RI0011X
Interventional Cardiology Physician
35C.004051
OH
207RI0011X
Interventional Cardiology Physician
Primary
80548
GA
Other
Enumeration date
06/29/2008
Last updated
04/28/2026
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