Doctor Name: | KIMBERELY J WINDHAM-COPE |
NPI Number: | 1063447902 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 040817 |
Business Practice Address: | 638 441 Historic Hwy N Suite D Demorest, GA - 305354566 |
Business Phone Number: | 7067549900 |
Business Fax Number: | 7067544548 |
Mailing Address: | 3480 Preston Ridge Rd Ste 600, Credentialing Dept ALPHARETTA |
State: | GA |
Postal Code: | 300055462 |
Phone Number: | 7703000101 |
Fax Number: | 7703000429 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 10/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 040817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |