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Individual

S TYRUS C BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
132 FRANKLIN SPRINGS ST, ROYSTON, GA 30662-4134
(706) 245-7371
(706) 245-9257
Mailing address
132 FRANKLIN SPRINGS STREET, ROYSTON, GA 30662
(706) 245-7371
(706) 245-9257

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001914
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
646193337B
GA
Enumeration date
03/01/2006
Last updated
03/03/2009
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