Provider Demographics
NPI:1013499185
Name:BECKETT, BRITNEY ELIZABETH
Entity Type:Individual
Prefix:
First Name:BRITNEY
Middle Name:ELIZABETH
Last Name:BECKETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3474 PINEGATE TRL
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-8811
Mailing Address - Country:US
Mailing Address - Phone:678-467-0767
Mailing Address - Fax:
Practice Address - Street 1:3474 PINEGATE TRL
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-8811
Practice Address - Country:US
Practice Address - Phone:678-467-0767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program