Organization · NPI-2
Brigette'S Technology Consulting And Research Firm
Physiological Laboratory · Newnan, GA
NPI number1487227997
StatusActive
Last updated in NPPESJul 22, 2021
Details
- NPI
- 1487227997
- Entity type
- Organization (NPI-2)
- Legal business name
- Brigette'S Technology Consulting And Research Firm
- Organization subpart
- No
- Enumeration date
- Jul 22, 2021
- Certification date
- Jul 21, 2021
- Last updated
- Jul 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 261QC1500X | Clinic/Center, Community Health | – | – | |
| 261QG0250X | Clinic/Center, Genetics | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
105 Wilson CirNewnan, GA 30263-5594
Phone 770-365-7577 · Fax 770-251-6765
Mailing address
105 Wilson CirNewnan, GA 30263-5594
Phone 770-365-7577
Authorized official
Brenda Lynn Nelson-Porter
Researcher/Clia-Waived Laboratory
7703657577
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