Individual
DR. TIFFANY D. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2427 GRESHAM RD SE, ATLANTA, GA 30316-3709
(770) 743-6971
(678) 490-8224
Mailing address
4480H S COBB DR SE STE 124, SMYRNA, GA 30080-6958
(770) 743-6971
(770) 743-8224
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1547 576T
LA
152W00000X
Optometrist
Primary
2395
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126245A
—
GA
05
—
08786318
—
MS
05
—
1014982
—
LA
01
—
202I417335
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER
—
Enumeration date
08/17/2007
Last updated
04/15/2021
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