Individual
MRS. KIM CAITLIN BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2101 NORTH AVE, COLUMBUS, GA 31904-8806
(706) 221-8799
Mailing address
7663 NORTHFIELD DR, COLUMBUS, GA 31909-2734
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN268140
GA
363LF0000X
Family Nurse Practitioner
RN268140
GA
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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