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Organization

BRIAH FASHIONS LLC

Active
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Organization

BRIAH FASHIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA L JACKSON (REGISTERED NURSE)
(404) 993-6727
Entity
Organization

Contact information

Practice address
1215 LIONSGATE DR, CONYERS, GA 30094-6106
(404) 993-6727
Mailing address
1215 LIONSGATE DR, CONYERS, GA 30094-6106
(404) 993-6727

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
GA

Other

Enumeration date
02/20/2015
Last updated
02/20/2015
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