MEDICARE: CASSIE KIMBER PALMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	13791	GA

General Provider Information

NPI Number	:	1952124851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSIE KIMBER PALMA

Provider Business Mailing Address
First Line	:	70 GLENRIDGE DR
Second Line	:
City	:	NEWNAN
State	:	GA
Zip	:	30265-1796
Country	:	US
Telephone Number	:	706-501-8048
Fax Number	:

Provider Business Practice Location Address
First Line	:	5665 NEW NORTHSIDE DR STE 320
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-5834
Country	:	US
Telephone Number	:	770-874-5487
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2024
Last Update Date	:	02/06/2026

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Directions to “ CASSIE KIMBER PALMA ” Practice Location

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