Individual
KIMILLE ELIZABETH BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(706) 464-3610
Mailing address
6 DAVID CT, COLUMBUS, GA 31904-1515
(706) 464-3610
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN191600
GA
Other
Enumeration date
09/02/2015
Last updated
01/19/2016
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