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Individual

MRS. KIMBERLY LYNNE CASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CPNP

Contact information

Practice address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8514
(678) 843-8780
Mailing address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8514
(678) 843-8780

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
196209
GA

Other

Enumeration date
09/07/2010
Last updated
08/28/2014
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