Individual
DR. PAMELA JO BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2801 N DECATUR RD, SUITE 190, DECATUR, GA 30033-5949
(404) 299-9307
(404) 299-9309
Mailing address
2801 N DECATUR RD, SUITE 190, DECATUR, GA 30033-5949
(404) 299-9307
(404) 299-9309
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
031390
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000450953F
—
GA
05
—
000450975G
—
GA
01
—
0528480
AETNA/USHC
GA
01
—
07-02508
UNITED HEALTHCARE
GA
01
—
202I162115
MEDICARE PTAN
GA
01
—
618210
BLUE CROSS BLUE SHIELD
GA
01
—
990012717
RAILROAD MEDICARE
GA
Enumeration date
06/03/2006
Last updated
12/20/2011
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