Individual
TAMMIE V BRICKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1400 TULLIE RD NE, ATLANTA, GA 30329-2309
(404) 785-5437
Mailing address
980 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30046-4706
(770) 962-8025
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN149012
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031260881
—
GA
Enumeration date
04/28/2012
Last updated
03/28/2023
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