Individual
DR. CRYSTAL LYNN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 BLUEBIRD BLVD, FORT VALLEY, GA 31030-5085
(478) 827-1971
(478) 827-1973
Mailing address
701 BLUEBIRD BLVD, FORT VALLEY, GA 31030-5085
(478) 827-1971
(478) 827-1973
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036348
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00554111A
—
GA
Enumeration date
07/19/2006
Last updated
02/14/2013
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