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NPI Code Detail

MEDICARE: DR. DONNA-MARIE ERIKA BROWN M.D.

MEDICARE: DR. DONNA-MARIE ERIKA 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
1208000000XPediatrics Physician047302GA

General Provider Information

NPI Number : 1225031974
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONNA-MARIE ERIKA BROWN M.D.
Provider Business Mailing Address
First Line : 1498 KLONDIKE RD SW
Second Line : STE 106
City : CONYERS
State : GA
Zip : 30094-5169
Country : US
Telephone Number : 770-860-8177
Fax Number : 770-860-8166
Provider Business Practice Location Address
First Line : 1498 KLONDIKE RD SW
Second Line : STE 106
City : CONYERS
State : GA
Zip : 30094-5169
Country : US
Telephone Number : 770-860-8177
Fax Number : 770-860-8166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/08/2007

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