Provider Demographics
NPI:1447021472
Name:NERAK HEALTHCARE PARTNERS LLC
Entity type:Organization
Organization Name:NERAK HEALTHCARE PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBBS-BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-373-9881
Mailing Address - Street 1:516 SOSEBEE FARM RD UNIT 1426
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:GA
Mailing Address - Zip Code:30017-0154
Mailing Address - Country:US
Mailing Address - Phone:678-373-9881
Mailing Address - Fax:
Practice Address - Street 1:516 SOSEBEE FARM RD UNIT 1426
Practice Address - Street 2:
Practice Address - City:GRAYSON
Practice Address - State:GA
Practice Address - Zip Code:30017-0154
Practice Address - Country:US
Practice Address - Phone:678-373-9881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty PharmacyGroup - Multi-Specialty