Individual
MRS. KIMBERLEY JOAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
165 N PARK TRL, STOCKBRIDGE, GA 30281-6500
(770) 506-1800
Mailing address
610 CHASTAIN PL, MACON, GA 31210-4300
(478) 461-4110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN117950
GA
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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