Brown, Deronda Felicia
Brown, Deronda Felicia is an individual health care provider with primary practice located at 1604 River Oaks Dr , Richmond Hill GA 31324-4587. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brown, Deronda Felicia can be contacted via phone (912) 445-5183.Contact Information
Primary practice address
1604 River Oaks Dr
Richmond Hill GA 31324-4587
Phone: (912) 445-5183
Fax: (912) 445-5183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 050079 | Georgia |
Profile Details
| NPI number | 1467446286 |
|---|---|
| LBN Legal business name | Brown, Deronda Felicia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Apr 6th, 2016 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467446286 | NPPES |
| Georgia | MEDICAID | 000908388B | |
| Georgia | MEDICAID | 000908388C | |
| Georgia | Other | P00062865 |
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