Individual provider · NPI-1

Pamela Sue Brandt, NP

Nurse Practitioner, Obstetrics & Gynecology · Fort Benning, GA

NPI number1265523732
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1265523732
Entity type
Individual (NPI-1)
Name
Mrs. Pamela Sue Brandt
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 27, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LX0001X Nurse Practitioner, Obstetrics & GynecologyRN080658 NPGAYes

Practice location

7950 Martin Loop
Fort Benning, GA 31905-5647

Phone 706-544-3193 · Fax 706-544-2736

Mailing address

4774 Champions Way
Columbus, GA 31909-2074

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