| NPI | 1407346984 |
|---|---|
| Doing Business As | BRG COMPREHENSIVE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | KENDALL JOHNSON CFO 225-237-1645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2019-10-22 |