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Ms. Kimberly Dainelle Green
Contractor in Macon, Georgia
NPI 1891083887

Kimberly Dainelle Green is a Contractor based in Macon, GA. Kimberly Dainelle Green practices in Macon, GA. The NPI Number for Kimberly Dainelle Green is 1891083887 and holds a License No. 011-R-0210 (Georgia).

The current practice location address for Kimberly Dainelle Green is 761 Poplar St, Macon, GA and can be reached out via phone at 478-461-1955 and via fax at 478-745-2054.

Location: 761 Poplar St, Macon, GA, 31201-2082
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891083887
Provider Name
Kimberly Dainelle Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
761 Poplar St, Macon, GA, 31201-2082
Phone Number
478-461-1955
Fax Number
478-745-2054
Provider Enumeration Date
07/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
761 Poplar St
City
Macon
State
Georgia
Zip
31201-2082
Phone Number
478-461-1955
Fax Number
478-745-2054
person
Provider Business Mailing Address Details
Address
761 Poplar St
City
Macon
State
Georgia
Zip
31201-2082
Phone Number
478-461-1955
Fax Number
478-745-2054
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
011-R-0210 (Georgia)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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