Individual
DR. RANDALL B BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
575 1ST ST, MACON, GA 31201-2825
(478) 743-9762
(478) 746-6612
Mailing address
575 1ST ST, MACON, GA 31201-2825
(478) 743-9762
(478) 746-6612
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
031884
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00638514B
—
GA
01
—
52484361
BLUE CROSS
GA
01
—
770002580
RAILROAD
GA
Enumeration date
06/15/2006
Last updated
11/12/2012
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