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KIMBERLY MONIQUE FRYER MSN, AGNP-C

Adult Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1164066031

Individual Registrant:
 KIMBERLY MONIQUE FRYER MSN, AGNP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
253 E HIGHWAY 78  TEMPLE, GA 30179-4348 US
Tel: 770-526-4501  Fax: --

Contact information for business:
PO BOX 1367  TEMPLE, GA 30179-1367 US
Tel: 770-562-4501  Fax: --

Registration Information:
NPI: 1164066031
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
GARN174123

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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