Individual
MRS. KELLIE BRANDENBURG MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
116 CHICKASAW TRL, JEFFERSON, GA 30549-6346
(678) 794-1182
(706) 387-7575
Mailing address
116 CHICKASAW TRL, JEFFERSON, GA 30549-6346
(678) 794-1182
(706) 387-7575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005956
GA
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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