Individual
KIMBERLY MESUMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3888 VINEVILLE AVE, MACON, GA 31204-1865
(478) 471-6744
Mailing address
351 SANTA ANITA AVE, WOODSTOCK, GA 30189-7181
(470) 848-0291
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033635
GA
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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