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NPI Profile for KIMBERLY M DAVIS in BRASELTON, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
School |
363LS0200X | 50 | Nurse Practitioner |
| NPI Number | 1063052470 |
|
| Status | Active | |
| Credentials | AGACNP | |
| Entity | Individual | |
| Enumeration date | 01/14/2020 | |
| Last updated | 01/21/2025 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KIMBERLY M DAVIS
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KIMBERLY M DAVIS, AGACNP