Organization
QUALITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA BEVELL (PRACTICE ADMINISTRATOR)
(404) 918-8118
Entity
Organization
Contact information
Practice address
3021 BROOK LN, REX, GA 30273-2434
(404) 918-8118
(866) 503-0856
Mailing address
3021 BROOK LN, REX, GA 30273-2434
(404) 918-8118
(866) 503-0856
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Enumeration date
01/17/2010
Last updated
04/01/2010
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