Derrick E. Kimble INC

NPI #1326329541 in Augusta, Georgia

Provider Information

NPI Number: 1326329541
Entity Type: Organization
Organization Name: Derrick E. Kimble INC
Primary Specialty: Counselor - Professional
Enumeration Date: Sep 1, 2011
Last Updated: Sep 1, 2011

Practice Location

Address: 2903 GALAHAD WAY
City: Augusta
State: Georgia
ZIP Code: 30909-9147
Phone: (706) 495-2351

Authorized Official

Name: DERRICK E KIMBLE, M.ED
Title: CEO
Phone: (706) 495-2351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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