Individual
CHARMAINE KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
(229) 433-1110
Mailing address
3467 GREENHILL DR, VALDOSTA, GA 31605-6579
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN235233
GA
Other
Enumeration date
04/25/2024
Last updated
01/28/2026
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