Individual
MRS. VUNTRESSA M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, R.T. (R)(T)(CT)
Contact information
Practice address
1483 LAKE CITY INDUSTRIAL CT STE C, MORROW, GA 30260-3544
(404) 882-7001
Mailing address
1483 LAKE CITY INDUSTRIAL CT STE C, MORROW, GA 30260-3544
(404) 882-7001
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
040817138
GA
2085R0001X
Radiation Oncology Physician
352283
GA
247100000X
Radiologic Technologist
352283
GA
2471C3401X
Computed Tomography Radiologic Technologist
352283
GA
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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