Organization
BRC MEDHEALTH LLC
Active
Other names
BRC Medhealth LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA CLARK FNP-BC (OWNER)
(470) 301-4563
Entity
Organization
Contact information
Practice address
110 NORTH PARK DRIVE, FAYETTEVILLE, GA 30214
(470) 301-4563
(678) 379-0928
Mailing address
1415 HIGHWAY 85 N STE 108, FAYETTEVILLE, GA 30214-7738
(470) 301-4563
(678) 379-0928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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