Individual
ROSENITA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
693 WATSON REEF, STONE MOUNTAIN, GA 30087-6117
(404) 313-9359
Mailing address
693 WATSON REEF, STONE MOUNTAIN, GA 30087-6117
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
00210596
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282237019A
—
GA
Enumeration date
01/03/2008
Last updated
01/03/2008
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