Individual
MRS. KIMBERLY DAWN MITCHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
950 S MAIN ST STE 2, BAXLEY, GA 31513-0161
(912) 367-2596
(912) 367-8706
Mailing address
950 S MAIN ST STE 2, BAXLEY, GA 31513-0161
(912) 367-2596
(912) 367-8706
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN149433NP
GA
Other
Enumeration date
11/05/2015
Last updated
01/20/2023
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