MEDICARE: BRIGHTON M PATRICK NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	RN227933	GA

General Provider Information

NPI Number	:	1538698162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIGHTON M PATRICK NP

Provider Business Mailing Address
First Line	:	3320 OLD JEFFERSON RD BLDG 700
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30607-1465
Country	:	US
Telephone Number	:	706-353-2990
Fax Number	:	706-353-2992

Provider Business Practice Location Address
First Line	:	2151 W SPRING ST STE B200
Second Line	:
City	:	MONROE
State	:	GA
Zip	:	30655-3207
Country	:	US
Telephone Number	:	770-267-0724
Fax Number	:	770-267-0718

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2017
Last Update Date	:	07/19/2024

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