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Organization

1ST CHOICE TELEMEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BENNIE LEE BROWN JR. DO (CEO)
(229) 395-1253
Entity
Organization

Contact information

Practice address
1500 ROCK QUARRY RD, STOCKBRIDGE, GA 30281-5047
(678) 722-5778
Mailing address
1500 ROCK QUARRY RD, STOCKBRIDGE, GA 30281-5047
(678) 722-5778

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003139672C
GA
Enumeration date
03/18/2019
Last updated
05/21/2023
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