| 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. |