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Contact Information

DERRICK E KIMBLE INC
2903 GALAHAD WAY
AUGUSTA, GA30909-9147
 Phone: 706-495-2351
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for DERRICK E KIMBLE INC

NPI Number 1902174345
LBN Legal business name DERRICK E KIMBLE INC
Authorized official DERRICK KIMBLE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2011
Last updated 12/13/2011 - About 14 years ago
Identifiers
GA License # LPC005188
GA License # RN107823
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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