Individual
ANN BROWNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
527 BOYETTE RD, LAKELAND, GA 31635-5238
(402) 677-5866
Mailing address
527 BOYETTE RD, LAKELAND, GA 31635-5238
(402) 677-5866
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
171W0000X
GA
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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