Heavenly Kimes
NPI 1114074192 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3240 Glencree Road
Conyers, GA 30012 - Phone
- (404) 713-4982
- Fax
- (678) 413-2491
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia