Individual
BRANDI PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP - BC
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1014
(706) 660-6504
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 571-1014
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN154337
GA
Other
Enumeration date
10/20/2016
Last updated
03/24/2017
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