Provider Demographics
NPI:1679237770
Name:TOMLINSON, KIRA CHRISTINE (NP)
Entity Type:Individual
Prefix:
First Name:KIRA
Middle Name:CHRISTINE
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3048 SPRING HILL PKWY SE APT C
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-4728
Mailing Address - Country:US
Mailing Address - Phone:404-936-6085
Mailing Address - Fax:
Practice Address - Street 1:3048 SPRING HILL PKWY SE APT C
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-4728
Practice Address - Country:US
Practice Address - Phone:404-936-6085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN177999363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily