Individual
CHARON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 HERITAGE RIDGE DR, MONROE, GA 30655-8438
(470) 314-2586
Mailing address
503 HERITAGE RIDGE DR, MONROE, GA 30655-8438
(470) 314-2586
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
099785
GA
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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