MEDICARE: ANNA STEVENS 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
1	104100000X	Social Worker		GA

General Provider Information

NPI Number	:	1346702594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA STEVENS BROWN

Provider Business Mailing Address
First Line	:	1908 LUMPKIN RD
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30906-3511
Country	:	US
Telephone Number	:	706-627-1320
Fax Number	:

Provider Business Practice Location Address
First Line	:	1707 N LEG CT
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30909-4329
Country	:	US
Telephone Number	:	706-925-1250
Fax Number	:	706-925-0202

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2019
Last Update Date	:	04/04/2019

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Directions to “ ANNA STEVENS BROWN ” Practice Location

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