Carroll, Kimberly
Carroll, Kimberly is an sole proprietor health care provider with primary practice located at 809 Cleveland Ave Sw , Atlanta GA 30315-7108. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Carroll, Kimberly can be contacted via phone (404) 767-2536.Contact Information
Primary practice address
809 Cleveland Ave Sw
Atlanta GA 30315-7108
Phone: (404) 767-2536
Fax: (404) 767-2779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 033047 | Georgia |
Profile Details
| NPI number | 1649270869 |
|---|---|
| LBN Legal business name | Carroll, Kimberly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Apr 11th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649270869 | NPPES |
| Georgia | Other | 202I167828 | MEDICARE NUMBER |
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