Individual
DR. PHILLIP R BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
314 N BROAD ST, 350, WINDER, GA 30680
(770) 307-4762
(770) 307-4812
Mailing address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-7000
(770) 307-4812
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
042797
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000749592B
—
GA
05
—
000749592O
—
GA
01
—
52596602
BCBS
GA
01
—
6073153
CIGNA
GA
Enumeration date
06/06/2006
Last updated
06/25/2018
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