Individual
MARK BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TRANSPORTER
Contact information
Practice address
306 CREST RIDGE DR, ATLANTA, GA 30344-5757
(718) 629-8893
Mailing address
306 CREST RIDGE DR, ATLANTA, GA 30344-5757
(718) 629-8893
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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