Organization
1ST CHOICE MULTI MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENNIE LEE BROWN JR. D.O. (CEO)
(229) 395-1253
Entity
Organization
Contact information
Practice address
151 S HOUSTON LAKE RD, SUITE 110, WARNER ROBINS, GA 31088-6399
(478) 333-3026
Mailing address
151 S HOUSTON LAKE RD, SUITE 110, WARNER ROBINS, GA 31088-6399
(478) 333-3026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18711
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08636876
—
GA
Enumeration date
09/29/2014
Last updated
09/29/2014
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