Mitcham, Kimberly Dawn
Mitcham, Kimberly Dawn is an individual health care provider with primary practice located at 950 S Main St Ste 2 , Baxley GA 31513-0161. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mitcham, Kimberly Dawn can be contacted via phone (912) 367-2596.Contact Information
Primary practice address
950 S Main St Ste 2
Baxley GA 31513-0161
Phone: (912) 367-2596
Fax: (912) 367-8706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN149433NP | Georgia |
Profile Details
| NPI number | 1720451297 |
|---|---|
| LBN Legal business name | Mitcham, Kimberly Dawn |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2015 |
| Last updated | Jan 20th, 2023 - about last year |
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.
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