Individual provider · Type 1 NPI

Kimberly Mouton

Driver · Lawrenceville, GA

NPI number 1992268346 Active

Practice location

1451 Green Oak Cir
Lawrenceville, GA 30043-5449

Call (770) 377-9548 Map

Mailing address

2133 Lawrenceville Suwanee Rd Ste 12
Suwanee, GA 30024-2649

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

Other driver providers in Lawrenceville

See all in Lawrenceville →

About NPI 1992268346

Kimberly Mouton's National Provider Identifier is 1992268346, issued on Apr 12, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Apr 12, 2019.