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General NPI Number Information
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NPI Number | 1952987026
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Entity Type | Individual
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Provider Name | DR. TOMEIKA MICHELLE WIMBUSH
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Gender | Female
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Dates
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Enumeration Date | 03/19/2021
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 2806 HILLCREEK DR
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City | AUGUSTA
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State | GA
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Zip | 30909-6484
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Country | US
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Telephone | 706-863-0200
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Fax | 706-863-4695
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Provider Business Mailing Address
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Address Line | 2806 HILLCREEK DR
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City | AUGUSTA
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State | GA
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Zip | 30909-6484
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Country | US
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Telephone | 706-863-0200
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Fax | 706-863-4695
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | RN168615
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License Number State | GA
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