Doctor Name: | KIMBERLY JAYE MCINTOSH |
NPI Number: | 1083633101 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 053808 |
Business Practice Address: | 1050 Eagles Landing Pkwy #302 Stockbridge, GA - 30281 |
Business Phone Number: | 7704740064 |
Business Fax Number: | 7704742998 |
Mailing Address: | 1050 Eagles Landing Pkwy, #302 STOCKBRIDGE |
State: | GA |
Postal Code: | 30281 |
Phone Number: | 7704740064 |
Fax Number: | 7704742998 |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 053808 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |