Brown, Andrea B
Brown, Andrea B is an individual health care provider with primary practice located at 5040 Bill Gardner Pkwy Ste 310 , Locust Grove GA 30248-3605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brown, Andrea B can be contacted via phone (770) 898-4339.Contact Information
Primary practice address
5040 Bill Gardner Pkwy Ste 310
Locust Grove GA 30248-3605
Phone: (770) 898-4339
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 022559 | Louisiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 052321 | Georgia |
Profile Details
| NPI number | 1972509420 |
|---|---|
| LBN Legal business name | Brown, Andrea B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Nov 20th, 2023 - about last year |
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 | 1972509420 | NPPES |
| Georgia | Other | G290995196 | MEDICARE |
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