Individual
DR. ROLAND MANOUTCHEHER BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 S MAIN ST, MOULTRIE, GA 31768-6908
(229) 891-2170
(229) 890-3606
Mailing address
2801 S MAIN ST, MOULTRIE, GA 31768-6908
(229) 891-2170
(229) 890-3606
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
O43008
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85001900G
—
GA
Enumeration date
10/23/2006
Last updated
10/04/2019
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