Individual
KOREMA ROSHAWN BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
103 OLD SCHOOL CIR, GUYTON, GA 31312-5639
(912) 572-8222
Mailing address
103 OLD SCHOOL CIR, GUYTON, GA 31312-5639
(912) 572-8222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN263649
GA
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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