Brown, Jacqueline Theresa
Brown, Jacqueline Theresa is an individual health care provider with primary practice located at 1365 Clifton Rd Ne Bldg B , Atlanta GA 30322-0816. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Brown, Jacqueline Theresa can be contacted via phone (404) 712-1722.Contact Information
Primary practice address
1365 Clifton Rd Ne Bldg B
Atlanta GA 30322-0816
Phone: (404) 712-1722
Fax: (404) 251-1899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 88755 | Georgia |
Profile Details
| NPI number | 1932527694 |
|---|---|
| LBN Legal business name | Brown, Jacqueline Theresa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2014 |
| Last updated | Mar 30th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932527694 | NPPES |
| Georgia | MEDICAID | 003254821A |
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