Individual
LILLIE CATHERINE BRANNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 TIBET AVE APT 105, SAVANNAH, GA 31406-9029
(912) 376-0761
Mailing address
130 TIBET AVE APT 105, SAVANNAH, GA 31406-9029
(912) 376-0761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10985
GA
Other
Enumeration date
01/18/2022
Last updated
10/08/2025
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