Individual
KIMBERLY ANN WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
220 LAMAR SMITH DR, NEWNAN, GA 30263-4086
(513) 503-5687
Mailing address
220 LAMAR SMITH DR, NEWNAN, GA 30263-4086
(513) 503-5687
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
3149
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3149
NSAA
GA
Enumeration date
03/08/2012
Last updated
03/08/2012
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