person
Richard William Kimmerling, MD
General Practice Physician in Acworth, Georgia
NPI 1174626543

Richard William Kimmerling is a General Practice Physician based in Acworth, GA. Richard William Kimmerling practices in Acworth, GA and has the professional credentials of MD. The NPI Number for Richard William Kimmerling is 1174626543 and holds a License No. 11710 (Georgia).

The current practice location address for Richard William Kimmerling is 5610 Forkwood Dr Nw, Acworth, GA and can be reached out via phone at 770-590-8915 and via fax at 770-218-0998.

Location: 5610 Forkwood Dr Nw, Acworth, GA, 30101-8023
person
Provider Profile Details
NPI Number
1174626543
Provider Name
Richard William Kimmerling
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5610 Forkwood Dr Nw, Acworth, GA, 30101-8023
Phone Number
770-590-8915
Fax Number
770-218-0998
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10047230 01 AMERIGREEN
00068054A 05 GA
institution
Provider Business Practice Location Address Details
Address
5610 Forkwood Dr Nw
City
State
Zip
30101-8023
Phone Number
770-590-8915
Fax Number
770-218-0998
person
Provider Business Mailing Address Details
Address
5610 Forkwood Dr Nw
City
State
Zip
30101-8023
Phone Number
770-590-8915
Fax Number
770-218-0998
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
11710 (Georgia)
Definition
Definition to come...
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