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Individual

KIMBERLY DIANE NEELY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSFA

Contact information

Practice address
4115 HIGHWAY 16 E, SHARPSBURG, GA 30277-2220
(770) 985-4257
(770) 985-4258
Mailing address
4115 HIGHWAY 16 E, SHARPSBURG, GA 30277-2220
(770) 985-4257
(770) 985-4258

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
142815
GA

Other

Enumeration date
07/18/2013
Last updated
07/18/2013
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