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NPI Code Detail

MEDICARE: DR. CRAIG MITCHELL BROWN M.D.

MEDICARE: DR. CRAIG MITCHELL BROWN M.D.
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
1207RP1001XPulmonary Disease Physician238219NY
2207RC0200XCritical Care Medicine (Internal Medicine) Physician62478GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111628634OTHERCAQH

General Provider Information

NPI Number : 1063680882
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRAIG MITCHELL BROWN M.D.
Provider Business Mailing Address
First Line : 1240 JESSE JEWELL PKWY SE STE 500
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3861
Country : US
Telephone Number : 770-536-9864
Fax Number : 470-228-7300
Provider Business Practice Location Address
First Line : 1240 JESSE JEWELL PKWY SE STE 500
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3861
Country : US
Telephone Number : 770-536-9864
Fax Number : 470-228-7300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2008
Last Update Date : 02/05/2026

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