Individual
MISS KIMBERLY GAIL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-C
Contact information
Practice address
1551 DOCTORS DR, LAGRANGE, GA 30240-4139
(706) 880-7222
Mailing address
1551 DOCTORS DR, LAGRANGE, GA 30240-4139
(706) 880-7222
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN198792
GA
Other
Enumeration date
12/30/2019
Last updated
07/12/2023
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