Individual
KIMBERLY PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5670 PEACHTREE DUNWOODY RD, SUITE 1000, ATLANTA, GA 30342-1699
(404) 255-1930
Mailing address
1341 SHAW DR NE, MARIETTA, GA 30066-5627
(678) 362-4691
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
193412
GA
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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