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Individual

MISS KIMBERLY ANN OATMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(706) 787-5035
(706) 721-5982
Mailing address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(706) 787-5035

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN132790
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN132790
REGISTERED NURSE
GA
Enumeration date
10/17/2006
Last updated
01/07/2014
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