Individual
KIMBERLY MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
176 LELAND LN, MCDONOUGH, GA 30253-8620
(404) 786-0360
Mailing address
176 LELAND LN, MCDONOUGH, GA 30253-8620
(404) 786-0360
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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