Organization
BRIGHTER POSSIBILITIES SUPPORT SVCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MARCUS CEASAR (OWNER)
(762) 241-3710
Entity
Organization
Contact information
Practice address
6006 BROADSTONE CT, COLUMBUS, GA 31907-9447
(762) 241-3710
Mailing address
6006 BROADSTONE CT, COLUMBUS, GA 31907-9447
(762) 241-3710
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
110364
GA
Other
Enumeration date
09/13/2012
Last updated
10/02/2012
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