Individual
MARGRACIOUS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 JESSE HILL JR DR SE, SUITE 5D, ATLANTA, GA 30303-3031
(404) 616-4466
Mailing address
80 JESSE HILL JR DR SE, SUITE 5D, ATLANTA, GA 30303-3031
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8243
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8243
GEORGIA COMPOSITE MEDICAL BOARD
GA
Enumeration date
02/20/2017
Last updated
02/20/2017
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