Individual
REBEKAH MIDDLEBROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
832 SPRING CREEK WAY, DOUGLASVILLE, GA 30134-1696
(770) 284-1861
(720) 368-8775
Mailing address
832 SPRING CREEK WAY, DOUGLASVILLE, GA 30134-1696
(770) 284-1861
(720) 368-8755
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
048-R-1661
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
473360319
INSURANCE COMPANIES
GA
Enumeration date
06/07/2018
Last updated
06/07/2018
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