Individual
MRS. KIMBERLY GORE-GRIFFIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
868 YORK AVE SW, ATLANTA, GA 30310-2750
(404) 752-1438
(404) 756-6870
Mailing address
3893 LEPRECHAUN CT, DECATUR, GA 30034-2169
(404) 752-1438
(404) 756-6870
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003459
GA
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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