Individual
KRISTIN BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 R. T. STANLEY, SR. PLACE, LYONS, GA 30436-5623
(912) 526-9355
Mailing address
110 RT STANLEY SENIOR PL, LYONS, GA 30436-0407
(912) 526-9355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN227376
GA
Other
Enumeration date
03/18/2021
Last updated
05/21/2021
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