Organization
ABUNDANTLY ABOVE ALL PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARONDA BROWN FNP-BC (FAMILY NURSE PRACTITIONER)
(229) 234-2916
Entity
Organization
Contact information
Practice address
2704 N OAK ST BLDG J, VALDOSTA, GA 31602-1768
(229) 262-7333
Mailing address
196 VIRGINIA AVE S, TIFTON, GA 31794-8073
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003214794A
—
GA
Enumeration date
04/20/2021
Last updated
04/15/2024
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