Individual
DR. KEISHA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4426 HUGH HOWELL RD, STE. B-332, TUCKER, GA 30084-4918
(678) 522-6086
Mailing address
1304 ROCKBRIDGE RD, STE. 4, STONE MOUNTAIN, GA 30087-3138
(678) 522-6086
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
048985
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
832729777A
—
GA
Enumeration date
04/10/2007
Last updated
03/07/2011
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