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Individual

ZACKARY RANDALL BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
(678) 255-7149
Mailing address
45 PINE TREE DR, MCDONOUGH, GA 30252-7147
(677) 255-7149

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
NCO-000001
GA
363L00000X
Nurse Practitioner
Primary
RN259795
GA

Other

Enumeration date
03/02/2022
Last updated
10/20/2022
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