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Contact Information

KIMBERLY A SERRAVEZZA, MD
4 EXECUTIVE PARK EAST NE
SUITE 470
ATLANTA, GA30329-2245
 Phone: 404-327-9682
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2084S0010X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for KIMBERLY A SERRAVEZZA · (Female)

NPI Number 1235130626
Status Active
Credentials MD
Entity Individual
Enumeration date 08/09/2005
Last updated 02/24/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 052048
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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