Brown, Craig Mitchell

Brown, Craig Mitchell is an sole proprietor health care provider with primary practice located at 1240 Jesse Jewell Pkwy Se Suite 500, Gainesville GA 30501-3862. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Brown, Craig Mitchell can be contacted via phone (770) 536-9864.

Contact Information

Primary practice address
1240 Jesse Jewell Pkwy Se Suite 500 Gainesville GA 30501-3862
Phone: (770) 536-9864
Fax: (770) 297-5012
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 62478 Georgia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 238219 New York

Profile Details

NPI number 1063680882
LBN Legal business name Brown, Craig Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2008
Last updated Sep 14th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063680882 NPPES
Other 11628634 CAQH

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