Individual
DR. KIMBERLY NICHOLE EIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
112 ROGERS ST NE STE 1A, ATLANTA, GA 30317-1094
(404) 890-5625
(404) 595-2547
Mailing address
112 ROGERS ST NE STE 1A, ATLANTA, GA 30317-1094
(404) 890-5625
(404) 595-2547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
91327
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
06/28/2024
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