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MRS. KIRSTEN BAUM COULTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
BULLOCH PEDIATRICS GROUP, LLC, 1044 BERMUDA RUN ROAD, STATESBORO, GA 30458
(912) 871-4847
Mailing address
43 DEE HENDERSON DR, RICHMOND HILL, GA 31324-7603
(850) 819-9112

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
195756
GA

Other

Enumeration date
05/02/2012
Last updated
09/06/2019
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