Individual
KELLY MCCOLLUM PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3702 2ND AVE, COLUMBUS, GA 31904-7408
(706) 507-9209
Mailing address
33 GRIZZLY CT, FORTSON, GA 31808-4556
(706) 577-8606
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN191030
GA
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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