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NPI Code Detail

MEDICARE: DENNIS LOGAN BROWN

MEDICARE: DENNIS LOGAN BROWN
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
12471C3402XRadiography Radiologic Technologist581300GA
2174H00000XHealth Educator

General Provider Information

NPI Number : 1326973561
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS LOGAN BROWN
Provider Business Mailing Address
First Line : 80 COHEN WALKER DR
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-2729
Country : US
Telephone Number : 478-396-0692
Fax Number :
Provider Business Practice Location Address
First Line : 80 COHEN WALKER DR
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-2729
Country : US
Telephone Number : 478-396-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2026
Last Update Date : 06/17/2026

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Directions to “ DENNIS LOGAN BROWN ” Practice Location

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