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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649270869 NPPES
Georgia Other 202I167828 MEDICARE NUMBER

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