Individual
MRS. PAMELA SUE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7950 MARTIN LOOP, FORT BENNING, GA 31905-5647
(706) 544-3193
(706) 544-2736
Mailing address
4774 CHAMPIONS WAY, COLUMBUS, GA 31909-2074
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN080658 NP
GA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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