Brown, Roselyn Burton

Brown, Roselyn Burton is an individual health care provider with primary practice located at 4153 Lawrenceville Hwy Nw Suite 5, Lilburn GA 30047-2854. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Brown, Roselyn Burton can be contacted via phone (470) 514-4301.

Contact Information

Primary practice address
4153 Lawrenceville Hwy Nw Suite 5 Lilburn GA 30047-2854
Phone: (470) 514-4301
Fax: (470) 514-4306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005961 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 005245 Georgia

Profile Details

NPI number 1013098441
LBN Legal business name Brown, Roselyn Burton
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated May 10th, 2013 - about 12 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 1013098441 NPPES
New York MEDICAID 00246075

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