Gonzalez-Brown, Richelle Angela
Gonzalez-Brown, Richelle Angela is an sole proprietor health care provider with primary practice located at 1200 Highway 74 S Ste 6-162 , Peachtree City GA 30269-3073. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gonzalez-Brown, Richelle Angela can be contacted via phone (678) 372-7732.Contact Information
Primary practice address
1200 Highway 74 S Ste 6-162
Peachtree City GA 30269-3073
Phone: (678) 372-7732
Fax: (678) 372-7732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 070121 | Georgia |
Profile Details
| NPI number | 1235450040 |
|---|---|
| LBN Legal business name | Gonzalez-Brown, Richelle Angela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2010 |
| Last updated | Apr 18th, 2024 - about last year |
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 | 1235450040 | NPPES |
| Georgia | MEDICAID | 003137166B | |
| Georgia | MEDICAID | 003137166C | |
| Georgia | MEDICAID | 160719 |
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