DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. TAIWANNA GRANAE BROWN-BOLDS M.D.

MEDICARE: MRS. TAIWANNA GRANAE BROWN-BOLDS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician046047GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104911817
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAIWANNA GRANAE BROWN-BOLDS M.D.
Provider Business Mailing Address
First Line : 420 E 2ND AVE STE 103
Second Line :
City : ROME
State : GA
Zip : 30161-3210
Country : US
Telephone Number : 706-509-3000
Fax Number :
Provider Business Practice Location Address
First Line : 123 THREE RIVERS DR NE
Second Line :
City : ROME
State : GA
Zip : 30161-2300
Country : US
Telephone Number : 706-295-3961
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 03/07/2023

Similar Medicare Providers

1205835360 — DR. JOSEPH NED HERREN MD
Practice Location Address:
123 THREE RIVERS DR NE
ROME, GA
30161-2300
Practice Phone: 706-295-3961
Practice Fax: 706-295-3979
1326070939 — ROME INTERNAL MEDICINE ASSOCIATES, PC
Practice Location Address:
123 THREE RIVERS DR NE
ROME, GA
30161-2300
Practice Phone: 706-295-3961
Practice Fax: 706-295-3979
1619020377 — HARBIN CLINIC, LLC
Practice Location Address:
123 THREE RIVERS DR NE , SUITE 100
ROME, GA
30161-2300
Practice Phone: 706-291-6848
Practice Fax: 706-291-6823
1366602153 — JAMIE O LIN DO
Practice Location Address:
123 THREE RIVERS DR NE
ROME, GA
30161-2300
Practice Phone: 706-295-3961
Practice Fax:
1568697696 — GEORGE PITTMAN HOTZ M.D.
Practice Location Address:
123 THREE RIVERS DR NE
ROME, GA
30161-2300
Practice Phone: 706-295-3961
Practice Fax: 706-295-3979
1982229175 — DR. GREGORY RUSIECKI DO
Practice Location Address:
123 THREE RIVERS DR NE
ROME, GA
30161-2300
Practice Phone: 706-295-3961
Practice Fax:

Directions to “ MRS. TAIWANNA GRANAE BROWN-BOLDS M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.