Organization
GENTA MEDICAL CLINIC P.C.
Active
Other names
John O. Browb, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN OSCAR BROWN M.D. (PRESIDENT)
(256) 435-2895
Entity
Organization
Contact information
Practice address
1460 1ST AVE SW, JACKSONVILLE, AL 36265-3329
(256) 435-2895
(256) 435-2969
Mailing address
1460 1ST AVE SW, JACKSONVILLE, AL 36265-3329
(256) 435-2895
(256) 435-2969
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15032
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15032
LICENSE NUMBER
CA
Enumeration date
09/22/2006
Last updated
11/19/2008
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