Individual
DR. KIMBERLY BROWN-GULLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 FORT BENNING RD, COLUMBUS, GA 31903-2834
(706) 322-9599
(706) 322-9567
Mailing address
1600 FORT BENNING RD, COLUMBUS, GA 31903-2834
(706) 322-9599
(706) 322-9567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
055549
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003107162E
—
GA
01
—
202I087834
MEDICARE PTAN
GA
Enumeration date
07/04/2006
Last updated
05/02/2014
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