Individual
MS. KIMBERLY CHARON INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
410 KENSINGTON RD, COLUMBUS, GA 31907-5455
(762) 204-4860
Mailing address
410 KENSINGTON RD, COLUMBUS, GA 31907-5455
(762) 204-4860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN288123
GA
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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