Guatemala Kimble, FNP-C | |
3240 S Cobb Dr Se, Smyrna, GA 30080-4194 | |
(770) 433-3447 | |
Not Available |
Full Name | Guatemala Kimble |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 3240 S Cobb Dr Se, Smyrna, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427593326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN250911 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arizona Gastroenterology Ltd | 6507842234 | 10 |
Entity Name | Arizona Gastroenterology Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043297690 PECOS PAC ID: 6507842234 Enrollment ID: O20040624001529 |
Mailing Address | Practice Location Address |
---|---|
Guatemala Kimble, FNP-C 2620 Elm Hill Pike, Nashville, TN 37214-3108 Ph: () - | Guatemala Kimble, FNP-C 3240 S Cobb Dr Se, Smyrna, GA 30080-4194 Ph: (770) 433-3447 |
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