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Individual

MS. JENNIFER LANE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC, LAT

Contact information

Practice address
2687 AKINS BLVD., BUILDING 511, STATESBORO, GA 30458
(912) 478-7230
(912) 478-1892
Mailing address
219 SAWGRASS TRL, STATESBORO, GA 30458-2447
(205) 361-3864

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001827
GA

Other

Enumeration date
08/16/2011
Last updated
08/16/2011
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