| NPI | 1548819014 |
|---|---|
| Doing Business As | GREENBRIER HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MARIBELLE M BLACKMON Owner 757-609-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2020-01-31 |