Brown, Phillip R

Brown, Phillip R is an individual health care provider with primary practice located at 314 N Broad St 350, Winder GA 30680. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brown, Phillip R can be contacted via phone (770) 307-4762.

Contact Information

Primary practice address
314 N Broad St 350 Winder GA 30680
Phone: (770) 307-4762
Fax: (770) 307-4812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 042797 Georgia

Profile Details

NPI number 1639118128
LBN Legal business name Brown, Phillip R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jun 25th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639118128 NPPES
Georgia MEDICAID 000749592O
Georgia Other 6073153
Georgia Other 52596602
Georgia MEDICAID 000749592B

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