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Individual

MRS. SANDRA H BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, FNP

Contact information

Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-5700
Mailing address
2727 PACES FERRY ROAD, SUITE 1-1100 (ATTENTION DENISE), ATLANTA, GA 30339-2185
(470) 271-3421

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
RN117303CNM
GA
363LF0000X
Family Nurse Practitioner
F0804009
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197859908B
GA
Enumeration date
06/16/2006
Last updated
06/12/2018
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