| NPI | 1750120945 |
|---|---|
| Other Name | BRC MEDHEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | BARBARA CLARK Owner 470-301-4563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |