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Individual

KIMBERLY DAWN MILLSAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN178269
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
788128026B
GA
05
788128026C
GA
05
788128026D
GA
Enumeration date
04/29/2009
Last updated
07/10/2025
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