Brown, Roland Manoutcheher

Brown, Roland Manoutcheher is an sole proprietor health care provider with primary practice located at 2801 S Main St , Moultrie GA 31768-6908. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Brown, Roland Manoutcheher can be contacted via phone (229) 891-2170.

Contact Information

Primary practice address
2801 S Main St Moultrie GA 31768-6908
Phone: (229) 891-2170
Fax: (229) 890-3606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X O43008 Georgia

Profile Details

NPI number 1295818581
LBN Legal business name Brown, Roland Manoutcheher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Oct 4th, 2019 - about 6 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 1295818581 NPPES
Georgia MEDICAID 85001900G

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