Grant Brown, Latai Ebrette

Grant Brown, Latai Ebrette is an individual health care provider with primary practice located at 1428 Apple Orchard Ln , Snellville GA 30078-6768. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Grant Brown, Latai Ebrette can be contacted via phone (901) 484-3952.

Contact Information

Primary practice address
1428 Apple Orchard Ln Snellville GA 30078-6768
Phone: (901) 484-3952
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 42518 Oklahoma
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD0000039391 Tennessee

Profile Details

NPI number 1679519573
LBN Legal business name Grant Brown, Latai Ebrette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Feb 20th, 2024 - about 2 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 1679519573 NPPES
Mississippi MEDICAID 01873878

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