Warnock, Kimberly Goodwin

Warnock, Kimberly Goodwin is an sole proprietor health care provider with primary practice located at 119 Harmony Xing Ste 3 , Eatonton GA 31024-9571. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Warnock, Kimberly Goodwin can be contacted via phone (706) 485-4004.

Contact Information

Primary practice address
119 Harmony Xing Ste 3 Eatonton GA 31024-9571
Phone: (706) 485-4004
Fax: (706) 262-2986
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN203092 Georgia

Profile Details

NPI number 1568802049
LBN Legal business name Warnock, Kimberly Goodwin
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2013
Last updated Jan 13th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568802049 NPPES
Georgia MEDICAID 003135566G

Popular Providers