Healthcare Provider Details
I. General information
NPI: 1730625872
Provider Name (Legal Business Name): YOUR CHOICE HEALTHCARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/12/2017
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
820 2ND AVE
EASTMAN GA
31023-6112
US
IV. Provider business mailing address
820 2ND AVE
EASTMAN GA
31023-6112
US
V. Phone/Fax
- Phone: 478-559-3154
- Fax: 478-559-3150
- Phone: 478-559-3154
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | RN133626 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PAMELA
LYNN
BROWN
Title or Position: CEO
Credential:
Phone: 478-559-3154