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Individual

DR. THOMAS L BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
104 N LAFAYETTE ST, EATONTON, GA 31024
(706) 485-6313
(706) 923-0817
Mailing address
104 N LAFAYETTE ST, EATONTON, GA 31024
(706) 485-6313
(706) 923-0817

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7028
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000050718A
GA
Enumeration date
10/18/2006
Last updated
05/23/2015
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