Individual
KIMBERLY HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3379 PEACHTREE RD NE, SUITE 555, ATLANTA, GA 30326-1031
(404) 965-0874
Mailing address
PO BOX 1112, FAIRBURN, GA 30213-8001
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN146528
GA
Other
Enumeration date
05/16/2014
Last updated
02/24/2015
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