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NPI Code Detail

MEDICARE: KIMBERLY PROCTOR

MEDICARE:   KIMBERLY  PROCTOR
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
1183500000XPharmacistRPH028427GA

General Provider Information

NPI Number : 1982071031
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY PROCTOR
Provider Business Mailing Address
First Line : 7600 SCHOMBURG RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-1833
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7600 SCHOMBURG RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-1833
Country : US
Telephone Number : 706-565-3266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2015
Last Update Date : 08/25/2015

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Directions to “ KIMBERLY PROCTOR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.