Individual
BRANDEE LAINE OBENAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
840 PINE ST STE 510, MACON, GA 31201-7530
(478) 633-8060
(478) 633-4080
Mailing address
840 PINE ST STE 510, MACON, GA 31201-7530
(478) 633-8060
(478) 633-4080
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN243093
GA
Other
Enumeration date
05/06/2016
Last updated
05/27/2025
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