Individual
JUSTIN TAYLOR BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
106 ENTERPRISE CT, COLUMBUS, GA 31904-9227
(706) 321-2555
Mailing address
220 LANTERN LN, ELLERSLIE, GA 31807-5395
(706) 573-9833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014907
GA
Other
Enumeration date
08/20/2020
Last updated
11/12/2020
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