Richard William Kimmerling MD

NPI 1174626543 - General Practice - 208D00000X

NPI Details
NPI 1174626543
Gender Male
Enumeration Date 09/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5610 FORKWOOD DR NW
ACWORTH GA, 30101-8023, US
Phone (770) 590-8915
Fax (770) 218-0998
Business Location
5610 FORKWOOD DR NW
ACWORTH GA, 30101-8023, US
Phone (770) 590-8915
Fax (770) 218-0998
Toxanomy
Taxonomy Code 208D00000X
License State Georgia
License Number 11710
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According to our database, Richard William Kimmerling MD NPI is 1174626543, taxonomy code is 208D00000X and license number is 11710, license state is located at Georgia. Richard William Kimmerling MD physically located at 5610 Forkwood Dr Nw, Acworth GA, 30101-8023. NPI Number Richard William Kimmerling MD has the Individual type.

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1174626543 NPI number is provided on an as is basis without warranty of any kind. 1174626543 is maintained by the National Plan & Provider Enumeration System. The contents of Richard William Kimmerling MD are for informational purposes only.