Individual
MS. DIANE ROSE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
284 SOMERSBY DR, DALLAS, GA 30157-8086
(770) 505-7697
(770) 505-7697
Mailing address
284 SOMERSBY DR, DALLAS, GA 30157-8086
(770) 505-7697
(770) 505-7697
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
R136360
GA
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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