Individual
MR. BRIAN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
655 MONTGOMERY ST STE 810, SAN FRANCISCO, CA 94111-2677
(844) 847-8216
(415) 520-9150
Mailing address
5001 QUINCEMOOR CT, GREENSBORO, NC 27407-7789
(336) 840-8338
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
5011498
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
5011498
NC
363L00000X
Nurse Practitioner
Primary
5011498
NC
363LP2300X
Primary Care Nurse Practitioner
5011498
NC
Other
Enumeration date
02/25/2019
Last updated
12/19/2023
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