Healthcare Provider Details

I. General information

NPI: 1386567709
Provider Name (Legal Business Name): BROWN PEDIATRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

266 E ATLANTA RD
STOCKBRIDGE GA
30281-3414
US

IV. Provider business mailing address

266 E ATLANTA RD
STOCKBRIDGE GA
30281-3414
US

V. Phone/Fax

Practice location:
  • Phone: 404-692-5006
  • Fax:
Mailing address:
  • Phone: 404-692-5006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JELANI BROWN
Title or Position: OWNER
Credential: DDS
Phone: 404-692-5006