Individual
MRS. ANGELA KATE REEAVES BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DRIVER
Contact information
Practice address
142 ALTON RD, MACON, GA 31211-7422
(478) 353-2246
Mailing address
142 ALTON RD, MACON, GA 31211-7422
(478) 353-2246
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
968
GA
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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