Individual provider · NPI-1

Kimberly Cecil, PA

Physician Assistant · Waycross, GA

NPI number1124791405
StatusActive
Last updated in NPPESOct 28, 2024

Details

NPI
1124791405
Entity type
Individual (NPI-1)
Name
Kimberly Cecil
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 31, 2021
Certification date
Oct 28, 2024
Last updated
Oct 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant10243GAYes
363A00000X Physician Assistant––

Practice location

1218 Alice St
Waycross, GA 31501-4525

Phone 912-590-0973 · Fax 912-590-0180

Mailing address

5191 First Coast Tech Pkwy Fl 3
Jacksonville, FL 32224-0609

Phone 904-223-3321 · Fax 904-223-2169

Other practice locations

195 E Tollison St Bldg C
Baxley, GA 31513-0172

Phone 912-590-0973

3408 Trout St
Brunswick, GA 31520-3622

Phone 912-590-0973 · Fax 912-590-0180

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