Brown, Pamela Jo
Brown, Pamela Jo is an individual health care provider with primary practice located at 2801 N Decatur Rd Suite 190, Decatur GA 30033-5949. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Brown, Pamela Jo can be contacted via phone (404) 299-9307.Contact Information
Primary practice address
2801 N Decatur Rd Suite 190
Decatur GA 30033-5949
Phone: (404) 299-9307
Fax: (404) 299-9309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 031390 | Georgia |
Profile Details
| NPI number | 1386682268 |
|---|---|
| LBN Legal business name | Brown, Pamela Jo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Dec 20th, 2011 - about 14 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 | 1386682268 | NPPES |
| Georgia | Other | 202I162115 | MEDICARE PTAN |
| Georgia | MEDICAID | 000450975G | MEDICARE PTAN |
| Georgia | MEDICAID | 000450953F | MEDICARE PTAN |
| Georgia | Other | 07-02508 | MEDICARE PTAN |
| Georgia | Other | 990012717 | MEDICARE PTAN |
| Georgia | Other | 0528480 | MEDICARE PTAN |
| Georgia | Other | 618210 | MEDICARE PTAN |
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