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Individual

RANDALL W BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD MPH

Contact information

Practice address
1100 LAKE HEARN DR, STE 450, ATLANTA, GA 30342
(404) 252-7339
(404) 257-0337
Mailing address
1100 LAKE HEARN DR, STE 450, ATLANTA, GA 30342
(404) 252-7339
(404) 257-0337

Taxonomy

Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
054649
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
929675850
GA
Enumeration date
07/27/2006
Last updated
08/25/2010
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