Individual
KIMBERLY STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3534 BEAVER SWAMP RD, LOGANVILLE, GA 30052-2868
(407) 325-4266
Mailing address
3534 BEAVER SWAMP RD, LOGANVILLE, GA 30052-2868
(407) 325-4266
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN144160
GA
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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