Green, Kimberly Dainelle
Green, Kimberly Dainelle is an sole proprietor health care provider with primary practice located at 761 Poplar St Suite # 2 I, Macon GA 31201-2082. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Green, Kimberly Dainelle can be contacted via phone (478) 461-1955.Contact Information
Primary practice address
761 Poplar St Suite # 2 I
Macon GA 31201-2082
Phone: (478) 461-1955
Fax: (478) 745-2054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 011-R-0210 | Georgia |
Profile Details
| NPI number | 1891083887 |
|---|---|
| LBN Legal business name | Green, Kimberly Dainelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2011 |
| Last updated | Jul 12th, 2011 - about 15 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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