Individual
MRS. KIMBERLY F SEABROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Mailing address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN165136
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN165136
GA LIC
GA
Enumeration date
03/21/2013
Last updated
06/20/2014
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