Individual
PORTER HAMILTON WIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 PARKS MEMORIAL BUILDING, MILLEDGEVILLE, GA 31061
(478) 445-1076
Mailing address
110 PANSY ST, COCHRAN, GA 31014-6817
(478) 308-2570
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN316864
GA
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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