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Contact Information

KIMBERLY A TATUM, NP
1941 NEW GARDEN RD
SUITE 216
GREENSBORO, NC27410-2554
 Phone: 336-288-8857
 Fax: 336-288-8769
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

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

NPI Number 1366704488
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 06/14/2012
Last updated 09/10/2014 - More than a year ago
Sole proprietor 1 No
Identifiers
NC License # 5005656
NC Medicaid 7006143
NC Medicare PIN NC7468A
Hospital affiliation(s) n/a
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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