Brown, Kimberly
Brown, Kimberly is an sole proprietor health care provider with primary practice located at 395 N Jeff Davis Dr Ste A , Fayetteville GA 30214-1672. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Brown, Kimberly can be contacted via phone (770) 460-0870.Contact Information
Primary practice address
395 N Jeff Davis Dr Ste A
Fayetteville GA 30214-1672
Phone: (770) 460-0870
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3174 | Mississippi |
| Dental Providers / General Practice | 1223G0001X | DN014931 | Georgia |
Profile Details
| NPI number | 1720022304 |
|---|---|
| LBN Legal business name | Brown, Kimberly |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jun 16th, 2022 - about 4 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 | 1720022304 | NPPES |
| Mississippi | MEDICAID | 00660404 |
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