NPI 1699001420
Brea Smyrna LLC
Practice location
- Address
- 4375 Beech Haven Trl SE, Smyrna, GA 30080-6601
- Phone
- (770) 803-0100
- Mailing address
- 3131 Elliott Ave STE 500, Seattle, WA 98121-1032
Authorised official
- Name
- Noelle Bickel
- Title
- Licensing Specialist
- Phone
- (206) 298-2909
Registered specialties
Alzheimer Center (Dementia Center)
Primary
Registry record
- NPI
- 1699001420
- Entity type
- Organization
- NPI issued
- 29 Oct 2009
- Record last updated
- 29 Oct 2009
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.