Brown, Randall B

Brown, Randall B is an individual health care provider with primary practice located at 575 1St St , Macon GA 31201-2825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Brown, Randall B can be contacted via phone (478) 743-9762.

Contact Information

Primary practice address
575 1St St Macon GA 31201-2825
Phone: (478) 743-9762
Fax: (478) 746-6612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 031884 Georgia

Profile Details

NPI number 1124062831
LBN Legal business name Brown, Randall B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Nov 12th, 2012 - about 13 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 1124062831 NPPES
Georgia Other 770002580 RAILROAD
Georgia MEDICAID 00638514B RAILROAD
Georgia Other 52484361 RAILROAD

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