Provider Demographics
NPI:1073222907
Name:KAREN-BRANDEE FIBROMYALGIA FOUNDATION, INC
Entity Type:Organization
Organization Name:KAREN-BRANDEE FIBROMYALGIA FOUNDATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER-CEO/SEC
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN-BRANDEE
Authorized Official - Middle Name:D
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-740-8891
Mailing Address - Street 1:PO BOX 42
Mailing Address - Street 2:
Mailing Address - City:CONLEY
Mailing Address - State:GA
Mailing Address - Zip Code:30288-0042
Mailing Address - Country:US
Mailing Address - Phone:470-280-6481
Mailing Address - Fax:404-737-8225
Practice Address - Street 1:105 GOVERNORS DR
Practice Address - Street 2:
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297-2172
Practice Address - Country:US
Practice Address - Phone:404-431-5833
Practice Address - Fax:404-737-8225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251K00000XAgenciesPublic Health or Welfare