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General NPI Number Information
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NPI Number | 1417838376
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Entity Type | Organization
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Legal Business Name | BROWNS MEDICAL CENTER LLC
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 2258 NORTHLAKE PKWY STE 365
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City | TUCKER
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State | GA
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Zip | 30084-4019
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Country | US
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Telephone | 470-357-2289
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Fax | 229-222-4025
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Provider Business Mailing Address
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Address Line | 2258 NORTHLAKE PKWY STE 365
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City | TUCKER
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State | GA
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Zip | 30084-4019
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Country | US
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Telephone | 470-357-2289
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Fax | 229-222-4025
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Authorized Official
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Title or Position | OWNER
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Name | CELECHIA JOHNSON
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Credential | FNP
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Telephone | 470-357-2289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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