Individual
BRYCE KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2738 NORTHLAKE RD, GAINESVILLE, GA 30506-1835
(770) 718-7578
Mailing address
2738 NORTHLAKE RD, GAINESVILLE, GA 30506-1835
(770) 718-7578
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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