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Individual

TOMMY LEE BROWN JR.

Active
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Individual

TOMMY LEE BROWN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
146L00000X
Paramedic
M5024678
GA
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
1198850
GA

Other

Enumeration date
01/08/2018
Last updated
04/30/2025
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