Provider Demographics
NPI:1942668686
Name:CARE SOLUTIONS
Entity Type:Organization
Organization Name:CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:DEVON
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:870-413-9890
Mailing Address - Street 1:3407 EDENRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-7240
Mailing Address - Country:US
Mailing Address - Phone:870-413-9890
Mailing Address - Fax:
Practice Address - Street 1:3407 EDENRIDGE CT
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-7240
Practice Address - Country:US
Practice Address - Phone:870-413-9890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAF1015056302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization