Healthcare Provider Details

I. General information

NPI: 1972985273
Provider Name (Legal Business Name): SHELDON BROWN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2015
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 N HOUSTON RD STE 103
WARNER ROBINS GA
31093-8944
US

IV. Provider business mailing address

233 N HOUSTON RD STE 103
WARNER ROBINS GA
31093-8944
US

V. Phone/Fax

Practice location:
  • Phone: 478-352-7001
  • Fax: 478-352-7003
Mailing address:
  • Phone: 478-352-7001
  • Fax: 478-352-7003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number83417
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTRN22173
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: