Organization · Type 2 NPI
BRC Medhealth LLC
Family Nurse Practitioner · Fayetteville, GA
NPI number
1750120945
Active
Practice location
110 North Park Drive
Fayetteville, GA 30214
Fax (678) 379-0928
Mailing address
1415 Highway 85 N Ste 108
Fayetteville, GA 30214-7738
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1750120945
BRC Medhealth LLC's National Provider Identifier is 1750120945, issued on May 20, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fayetteville, GA. The record was last updated on May 20, 2024.