Kymberly M Tart, PA-C
Physician Assistant, Medical in Dillon, MT. Individual provider (NPI-1).
NPI number1154530756
StatusActive
Last updated in NPPESOct 21, 2020
Details
- NPI
- 1154530756
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kymberly M Tart
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 21, 2007
- Certification date
- Oct 21, 2020
- Last updated
- Oct 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 004137 | GA | Yes |
Practice location
600 Mt Highway 91 SDillon, MT 59725-7379
Phone 406-683-3000
Mailing address
601 S. Enota DriveSuite Q
Gainesville, GA 30501
Phone 770-533-8420 · Fax 770-533-8440
Other practice locations
743 Spring St.
Gainesville, GA 30501
Gainesville, GA 30501
Phone 770-535-3553 · Fax 770-533-8409
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