Individual
KIMBERLY TRAMMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
2101 DUTCH FORK RD, CHAPIN, SC 29036-7576
(910) 742-9243
(888) 746-1787
Mailing address
PO BOX 538622, ATLANTA, GA 30353-8622
(910) 742-9243
(888) 746-1787
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19579
SC
363LG0600X
Gerontology Nurse Practitioner
19579
SC
Other
Enumeration date
07/01/2015
Last updated
02/10/2016
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