Individual
KIMBERLEY RHODES HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2510 HWY 127, HOUSTON LAKE MEDSTOP, KATHLEEN, GA 31047
(478) 975-6800
(478) 975-6814
Mailing address
2510 HWY 127, HOUSTON LAKE MEDSTOP, KATHLEEN, GA 31047
(478) 975-6800
(478) 975-6814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
050375
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00918882A
—
GA
Enumeration date
10/03/2006
Last updated
02/16/2015
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