Individual
KYRISSTON SHANTELL FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
251 CORNWALL ST, BRUNSWICK, GA 31525-2376
(912) 248-6082
Mailing address
251 CORNWALL ST, BRUNSWICK, GA 31525-2376
(912) 248-7381
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PHCP010521
GA
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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