Individual
ANGELA GAYNELL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1942 JEFF DAVIS ST, MACON, GA 31201-2458
(478) 703-3909
Mailing address
1942 JEFF DAVIS ST, MACON, GA 31201-2458
(478) 703-3909
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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