KELLI NICOLE BROADUS

AUGUSTA, GA
NPI1306371661
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN216907)
Enumeration Date2017-04-25
Last Update Date2017-04-25
Business Address
Miss KELLI NICOLE BROADUS FNP-C
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
Mailing Address
Miss KELLI NICOLE BROADUS FNP-C
1330 ROYAL OAK ST
GROVETOWN, GA 30813-3996
Phone number: 706-726-0907