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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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