Individual
BRENNAN DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2300 MANCHESTER EXPY STE C003, COLUMBUS, GA 31904-6877
(706) 324-7753
Mailing address
2300 MANCHESTER EXPY STE 2001A, COLUMBUS, GA 31904-6802
(706) 320-3126
(706) 320-3054
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN209663
GA
363LF0000X
Family Nurse Practitioner
RN209663
GA
Other
Enumeration date
07/26/2016
Last updated
08/01/2024
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