NPI 1275925711

Briah Fashions LLC

Organisation Exclusive Provider Organization Conyers, GA

Practice location

Address: 1215 Lionsgate Dr, Conyers, GA 30094-6106
Phone: (404) 993-6727

Authorised official

Name: Barbara L Jackson
Title: Registered Nurse
Phone: (404) 993-6727

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Georgia →

Registry record

NPI: 1275925711
Entity type: Organization
NPI issued: 20 Feb 2015
Record last updated: 20 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.