Provider Demographics
NPI:1366553133
Name:BRIER CREEK FAMILY PRACTICE, PLLC
Entity type:Organization
Organization Name:BRIER CREEK FAMILY PRACTICE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:VALAIRE
Authorized Official - Last Name:QUASHIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-574-2175
Mailing Address - Street 1:3721 LYNN RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-3854
Mailing Address - Country:US
Mailing Address - Phone:910-574-2175
Mailing Address - Fax:
Practice Address - Street 1:3721 LYNN RD
Practice Address - Street 2:SUITE 104
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-3854
Practice Address - Country:US
Practice Address - Phone:910-574-2175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty