Individual
MS. ALTHEA DAVIS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
300 W HOSPITAL RD # MACF, FORT GORDON, GA 30905-5741
(706) 787-2720
(706) 787-8176
Mailing address
300 W HOSPITAL RD # MACF-QM, FORT GORDON, GA 30905-5741
(706) 787-2720
(706) 787-8176
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN059308
GA
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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