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
Fax: (912) 445-5183
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467446286 NPPES
Georgia MEDICAID 000908388B
Georgia MEDICAID 000908388C
Georgia Other P00062865

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