MEDICARE: DR. JARED RYAN BROWN D.C

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
1	111N00000X	Chiropractor	CHIR009138	GA

General Provider Information

NPI Number	:	1588009096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JARED RYAN BROWN D.C

Provider Business Mailing Address
First Line	:	2 PARK OF COMMERCE BLVD
Second Line	:	SUITE D
City	:	SAVANNAH
State	:	GA
Zip	:	31405-7410
Country	:	US
Telephone Number	:	912-777-3717
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 PARK OF COMMERCE BLVD
Second Line	:	SUITE D
City	:	SAVANNAH
State	:	GA
Zip	:	31405-7410
Country	:	US
Telephone Number	:	912-777-3717
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2013
Last Update Date	:	05/10/2013

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