Individual
PRISCILLA DENISE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38200 3RD AVE, FORT GORDON, GA 30905
(678) 598-0022
Mailing address
3551 WINDSOR SPRING RD APT 55, HEPHZIBAH, GA 30815-7158
(678) 598-0022
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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