DPM BRISSETT NRGA LLC

LITHONIA, GA
NPI1326040114
Entity TypeOrganization
Authorized ContactROBERT P BRISSETT
Dpm
646-721-2072
Organization Subpart ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: GA  POD000950)
Enumeration Date2005-08-11
Last Update Date2020-08-22
Business Address
DPM BRISSETT NRGA LLC
5124 GROVE FIELD PT
LITHONIA, GA 30038-2387
Phone number: 646-721-2072
Mailing Address
DPM BRISSETT NRGA LLC
5124 GROVE FIELD PT
LITHONIA, GA 30038-2387
Phone number: 646-721-2072