Brown, Andrea B

Brown, Andrea B is an individual health care provider with primary practice located at 5040 Bill Gardner Pkwy Ste 310 , Locust Grove GA 30248-3605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brown, Andrea B can be contacted via phone (770) 898-4339.

Contact Information

Primary practice address
5040 Bill Gardner Pkwy Ste 310 Locust Grove GA 30248-3605
Phone: (770) 898-4339
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 022559 Louisiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 052321 Georgia

Profile Details

NPI number 1972509420
LBN Legal business name Brown, Andrea B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Nov 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972509420 NPPES
Georgia Other G290995196 MEDICARE

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