Brickhouse, Tammie V
Brickhouse, Tammie V is an individual health care provider with primary practice located at 1400 Tullie Rd Ne , Atlanta GA 30329-2309. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Brickhouse, Tammie V can be contacted via phone (404) 785-5437.Contact Information
Primary practice address
1400 Tullie Rd Ne
Atlanta GA 30329-2309
Phone: (404) 785-5437
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN149012 | Georgia |
Profile Details
| NPI number | 1114285038 |
|---|---|
| LBN Legal business name | Brickhouse, Tammie V |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2012 |
| Last updated | Mar 28th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114285038 | NPPES |
| Georgia | MEDICAID | 0031260881 |
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