Individual
KAITLYN LEIGH MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1602 MADISON AVE, TIFTON, GA 31794-3756
(229) 391-4426
(229) 391-4304
Mailing address
2225 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 391-4100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP227483
GA
Other
Enumeration date
07/02/2018
Last updated
10/13/2025
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