Individual provider · NPI-1

Kimberly Balie, RPSGT

Specialist/Technologist, Other · Marietta, GA

NPI number1184367377
StatusActive
Last updated in NPPESApr 15, 2022

Details

NPI
1184367377
Entity type
Individual (NPI-1)
Name
Kimberly Balie
Credential
RPSGT
Sex
Female
Sole proprietor
No
Enumeration date
Apr 15, 2022
Certification date
Apr 15, 2022
Last updated
Apr 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246Z00000X Specialist/Technologist, Other11153–Yes

Other names

  • Kimberly Jackson (Former Name)

Practice location

2540 Windy Hill Rd Se
Marietta, GA 30067-8605

Phone 470-644-1778 · Fax 770-644-1759

Mailing address

300 London Ln
Hiram, GA 30141-5455

Phone 828-980-4817

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Other Specialist/Technologist, Other providers in Marietta, GA