Individual
KIMBERLY CHURCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2859 CHAPEL HILL RD, SUITE D, DOUGLASVILLE, GA 30135
(404) 904-1991
Mailing address
5051 GREYSTONE PL, DOUGLASVILLE, GA 30135-4860
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
04/03/2025
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