Individual
MRS. GINA KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 HWY 49 S, BYRON, GA 31008-6937
(478) 956-2648
(478) 956-4080
Mailing address
200 GA HIGHWAY 49 S, BYRON, GA 31008-6937
(478) 956-2648
(478) 956-4080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN119650NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00958856B
—
GA
Enumeration date
09/13/2005
Last updated
10/13/2025
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