Individual
JAMES LEWIS BROWN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 AUSTIN DR, DEMOREST, GA 30535-4508
(706) 839-4092
(706) 839-1970
Mailing address
PO BOX 657, DEMOREST, GA 30535-0657
(706) 839-4092
(706) 839-1970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
021652
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
21652
GA
261QP2300X
Primary Care Clinic/Center
21652
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G15451A
MEDICARE PTAN
GA
Enumeration date
12/27/2006
Last updated
11/15/2022
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