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NPI Code Detail

MEDICARE: DR. GEORGE W BROWN IV MD

MEDICARE: DR. GEORGE W BROWN IV MD
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
1207Q00000XFamily Medicine Physician030275GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073519237
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE W BROWN IV MD
Provider Business Mailing Address
First Line : 1000 CORPORATE CENTER DR
Second Line : STE 200
City : MORROW
State : GA
Zip : 30260-4129
Country : US
Telephone Number : 770-968-6464
Fax Number : 770-968-6455
Provider Business Practice Location Address
First Line : 1000 CORPORATE CENTER DR
Second Line : STE 200
City : MORROW
State : GA
Zip : 30260-4129
Country : US
Telephone Number : 770-968-6464
Fax Number : 770-968-6455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 10/29/2019

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Directions to “ DR. GEORGE W BROWN IV MD” Practice Location

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