Individual
CHARLENE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4060 PEACHTREE RD NE STE H, BROOKHAVEN, GA 30319-3020
(404) 549-2650
Mailing address
4060 PEACHTREE RD NE STE H, BROOKHAVEN, GA 30319-3020
(404) 594-2650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6590
LA
1223G0001X
General Practice Dentistry
Primary
DN015100
GA
Other
Enumeration date
03/10/2015
Last updated
10/22/2021
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