Individual
BRETTA COOK KITTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
450 NORTH ST, BAMBERG, SC 29003-1318
(803) 245-5168
(803) 245-6275
Mailing address
450 NORTH ST, BAMBERG, SC 29003-1318
(803) 245-5168
(803) 245-6275
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21571
SC
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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