| Brooke Gently Hargrove Llc | |
|
3390 Spring Meadow Ct Tucker GA 30084-2121 | |
| (404) 308-3166 | |
| Not Available |
| Full Name | Brooke Gently Hargrove Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3390 Spring Meadow Ct, Tucker, Georgia |
| Authorized Official Name and Position | Brooke Gently Hargrove (OWNER) |
| Authorized Official Contact | 4043083166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Gently Hargrove Llc 3390 Spring Meadow Ct Tucker GA 30084-2121 Ph: (404) 308-3166 | Brooke Gently Hargrove Llc 3390 Spring Meadow Ct Tucker GA 30084-2121 Ph: (404) 308-3166 |
| NPI Number | 1457006892 |
|---|---|
| Provider Enumeration Date | 02/15/2022 |
| Last Update Date | 02/15/2022 |
| Certification Date | 02/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457006892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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