Individual
REBECCA L BRIGOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
4120 FIVE FORKS TRICKUM RD SW STE 102, LILBURN, GA 30047-8975
(770) 923-6400
Mailing address
4289 AMBERLEAF WALK, LILBURN, GA 30047-3158
(703) 405-2325
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN259312
GA
Other
Enumeration date
02/19/2020
Last updated
11/27/2023
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