Brown, Pearl
Brown, Pearl is an individual health care provider with primary practice located at 1875 Fant Dr , Fort Oglethorpe GA 30742-3307. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Brown, Pearl can be contacted via phone (706) 806-1140.Contact Information
Primary practice address
1875 Fant Dr
Fort Oglethorpe GA 30742-3307
Phone: (706) 806-1140
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | APC005278 | Georgia |
Profile Details
| NPI number | 1447608641 |
|---|---|
| LBN Legal business name | Brown, Pearl |
| Credentials | APC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2016 |
| Last updated | Oct 9th, 2017 - about 8 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 | 1447608641 | NPPES |
| Georgia | MEDICAID | 58-2108521 |
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