| Kim Kurtz Md Inc | |
|
1300 S Chestatee Dahlonega GA 30533-5503 | |
| (706) 867-6005 | |
| (706) 867-6012 |
| Full Name | Kim Kurtz Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1300 S Chestatee, Dahlonega, Georgia |
| Authorized Official Name and Position | Kim Kurtz (BUSINESS OWNER) |
| Authorized Official Contact | 7068676005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Kurtz Md Inc 1300 S Chestatee Dahlonega GA 30533-5503 Ph: (706) 867-6005 | Kim Kurtz Md Inc 1300 S Chestatee Dahlonega GA 30533-5503 Ph: (706) 867-6005 |
| NPI Number | 1457513996 |
|---|---|
| Provider Enumeration Date | 06/26/2008 |
| Last Update Date | 06/26/2008 |
| Medicare PECOS PAC ID | 9537218276 |
|---|---|
| Medicare Enrollment ID | O20090528000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457513996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kimberly E Kurtz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285620450 PECOS PAC ID: 7214988690 Enrollment ID: I20050202000839 |
| Provider Name | Suzanne A Childers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083050215 PECOS PAC ID: 9234379942 Enrollment ID: I20130701000181 |
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