Millsap, Kimberly Dawn

Millsap, Kimberly Dawn is an individual health care provider with primary practice located at 200 Gentilly Blvd , Cartersville GA 30120-8504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Millsap, Kimberly Dawn can be contacted via phone (470) 490-7200.

Contact Information

Primary practice address
200 Gentilly Blvd Cartersville GA 30120-8504
Phone: (470) 490-7200
Fax: (770) 276-7251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN178269 Georgia

Profile Details

NPI number 1881838225
LBN Legal business name Millsap, Kimberly Dawn
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2009
Last updated Apr 28th, 2020 - about 6 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 1881838225 NPPES
Georgia MEDICAID 788128026D
Georgia MEDICAID 788128026B
Georgia MEDICAID 788128026C

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