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General NPI Number Information
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NPI Number | 1558819052
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Entity Type | Individual
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Provider Name | KIMBERLY J WINTERS MSN
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Gender | Female
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 304 JACOBS HWY
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City | CLINTON
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State | SC
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Zip | 29325-7279
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Country | US
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Telephone | 864-833-2550
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Fax | 864-938-9240
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Provider Business Mailing Address
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Address Line | 2030 POWERS FERRY RD SE STE 120
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City | ATLANTA
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State | GA
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Zip | 30339-5016
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Country | US
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Telephone | 678-801-2329
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Fax | 844-249-2637
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 377870
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | GAA-NP003737
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 20364
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License Number State | SC
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