Individual
ROGER LEE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3000 HOSPITAL BLVD, ANESTHESIA DEPT., ROSWELL, GA 30076-4915
(770) 751-2623
(770) 751-2627
Mailing address
PO BOX 105048, ATLANTA, GA 30348-5048
(800) 919-1190
(706) 860-6484
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
80061
NM
367500000X
Certified Registered Nurse Anesthetist
RN163820
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN163820
RN / CRNA LICENSE
GA
Enumeration date
03/03/2010
Last updated
11/08/2025
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