# THE CARRINGTON CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427734177
- **Authorized official:** JENNIFER BRADLEY NP (OWNER)
- **Authorized official phone:** (870) 413-9890

## Contact information

- **Practice address:** 1755 N BROWN RD STE 200-1023, LAWRENCEVILLE, GA 30043-8198
- **Practice address phone:** (770) 281-0118
- **Mailing address:** 1755 N BROWN RD STE 200-1023, LAWRENCEVILLE, GA 30043-8198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2023
- **Last updated:** 08/27/2024