Individual
KIMBERLY RENEE GILLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1608 TREE LN STE A101, SNELLVILLE, GA 30078-2390
(770) 972-6464
(770) 978-4819
Mailing address
1608 TREE LN STE A101, SNELLVILLE, GA 30078-2390
(770) 972-6464
(770) 972-4919
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
99642
GA
Other
Enumeration date
04/01/2020
Last updated
04/16/2025
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