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Individual

MRS. KIMBERLEY RENEE COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
575 PROFESSIONAL DR., SUITE 150, LAWRENCEVILLE, GA 30046
(678) 312-5200
(678) 312-5289
Mailing address
575 PROFESSIONAL DRIVE, SUITE 150, LAWRENCEVILLE, GA 30046
(770) 616-2760
(678) 312-5289

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN139658
GA
208VP0000X
Pain Medicine Physician
RN139658
GA
363L00000X
Nurse Practitioner
Primary
RN139658
GA
363LF0000X
Family Nurse Practitioner
RN139658
GA

Other

Enumeration date
01/23/2016
Last updated
02/26/2021
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