Kymberly M Tart PA-C

NPI 1154530756 - Physician Assistant - 363AM0700X

NPI Details
NPI 1154530756
Gender Female
Enumeration Date 05/21/2007
Last Updated 08/29/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
743 SPRING ST.
GAINESVILLE GA, 30501, US
Phone (770) 535-3553
Fax (770) 533-8409
Business Location
601 S. ENOTA DRIVE
SUITE Q
GAINESVILLE GA, 30501, US
Phone (770) 533-8420
Fax (770) 533-8440
Toxanomy
Taxonomy Code 363AM0700X
License State Georgia
License Number 004137
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According to our database, Mrs. Kymberly M Tart PA-C NPI is 1154530756, taxonomy code is 363AM0700X and license number is 004137, license state is located at Georgia. Kymberly M Tart PA-C physically located at 743 Spring St., Gainesville GA, 30501. NPI Number Kymberly M Tart PA-C has the Individual type.

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1154530756 NPI number is provided on an as is basis without warranty of any kind. 1154530756 is maintained by the National Plan & Provider Enumeration System. The contents of Kymberly M Tart PA-C are for informational purposes only.