Individual
KIMBERLY BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1921 WHITTLESEY RD STE 100, COLUMBUS, GA 31904-9209
(706) 250-6026
Mailing address
1921 WHITTLESEY RD STE 100, COLUMBUS, GA 31904-9209
(706) 250-6026
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
184587
GA
Other
Enumeration date
05/18/2016
Last updated
08/23/2024
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