Individual
MRS. SUZANNE ELIZABETH BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP-C
Contact information
Practice address
1109 BURLEYSON RD, STE 202, DALTON, GA 30720-3094
(706) 259-3336
(706) 370-7715
Mailing address
1109 BURLEYSON RD STE 202, DALTON, GA 30720-3094
(706) 259-3336
(706) 370-7715
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
174936
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031523754A
—
GA
01
—
02548767
AMERIGROUP
GA
01
—
1028078
WELLCARE
GA
Enumeration date
08/05/2014
Last updated
02/24/2021
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