Individual
KIMBERLY GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
1302 LEAFSTONE DR, COVINGTON, GA 30014-3318
(706) 840-4860
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
255709
SC
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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