Individual
MR. MARLIN LAVAR BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
110 PROFESSIONAL CT, JESUP, GA 31545-0044
(912) 427-0800
(912) 427-6029
Mailing address
PO BOX 1334, JESUP, GA 31598-1334
(843) 412-8761
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002838
GA
Other
Enumeration date
07/12/2012
Last updated
12/23/2016
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