Organization
DAY BREAK MEDICAL RESOURCE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTHEA DAVIS BROWN (CEO/ADMINISTRATOR)
(706) 267-5931
Entity
Organization
Contact information
Practice address
4349 WHITE PINE CT, AUGUSTA, GA 30906-8122
(706) 267-5931
Mailing address
4349 WHITE PINE CT, AUGUSTA, GA 30906-8122
(706) 267-5931
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN059308
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720251812
TYPE UNKNOWN/ISSUED FOR US ARMY MEDICAL CENTER
GA
Enumeration date
06/16/2009
Last updated
06/16/2009
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