Individual
KIMBALL FRANK PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1359 MILSTEAD RD NE, SUITE 103, CONYERS, GA 30012-3865
(770) 388-7745
(770) 922-0546
Mailing address
PO BOX 1078, CONYERS, GA 30012-1078
(770) 388-7745
(770) 922-0546
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
034435
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000463856A
—
GA
Enumeration date
02/03/2006
Last updated
02/09/2010
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