Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 43211 | TN |
N | 111NI0900X | Internist | 43211 | TN |
Y | 207R00000X | Internist | 66461 | GA |
Y | 111NI0900X | Internist | 66461 | GA |
N | 207RN0300X | Nephrologist | 66461 | GA |
NPI | 1043367840 |
---|---|
Provider Name | Dr. Kimberly Carter |
First Address | Atlanta, GA 30305-1717 |
Second Address | Lithonia, GA 30058-4865 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 10/01/2022 |