Individual
KIMBERLY CASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3945 HWY 301, GLENNVILLE, GA 30427
(912) 435-6234
(912) 435-5636
Mailing address
3945 HWY 301, GLENNVILLE, GA 30427
(912) 435-6234
(912) 435-5636
Taxonomy
Speciality
Code
Description
License number
State
2471M2300X
Mammography Radiologic Technologist
Primary
414929
GA
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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