Individual
CULLEN MASON BROWN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 238-8073
(706) 238-8013
Mailing address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
027971
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000345826C
—
GA
Enumeration date
12/09/2006
Last updated
07/08/2007
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