Provider Demographics
NPI:1720679095
Name:BRIGHTER HEALTH & PRIMARY CARE LLC
Entity Type:Organization
Organization Name:BRIGHTER HEALTH & PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:J
Authorized Official - Last Name:HASKINS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:404-478-7220
Mailing Address - Street 1:5755 N POINT PKWY STE 221
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1171
Mailing Address - Country:US
Mailing Address - Phone:404-478-7220
Mailing Address - Fax:404-478-7867
Practice Address - Street 1:5755 N POINT PKWY STE 221
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1171
Practice Address - Country:US
Practice Address - Phone:404-478-7220
Practice Address - Fax:404-478-7867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-29
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty