MEDICARE: STEPHEN LAWRENCE BROWN 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
1	207X00000X	Orthopaedic Surgery Physician	059378	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669422937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN LAWRENCE BROWN MD

Provider Business Mailing Address
First Line	:	100 THREE RIVERS DR NE
Second Line	:
City	:	ROME
State	:	GA
Zip	:	30161-4999
Country	:	US
Telephone Number	:	706-292-0040
Fax Number	:	706-378-0556

Provider Business Practice Location Address
First Line	:	100 THREE RIVERS DR NE
Second Line	:
City	:	ROME
State	:	GA
Zip	:	30161-4999
Country	:	US
Telephone Number	:	706-292-0040
Fax Number	:	706-378-0556

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	10/15/2010

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