Organization
PARKWAY FAMILY MEDICINE LLC
Active
Other names
Womens Healthcare and Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LUDELLA BROWN APN, DNP (ADVANCED PRACTICE NURSE)
(912) 450-0999
Entity
Organization
Contact information
Practice address
122 CANAL ST STE 102, POOLER, GA 31322-4408
(912) 450-0999
(912) 450-0999
Mailing address
122 CANAL ST STE 102, POOLER, GA 31322-4408
(912) 450-0999
(912) 450-0999
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
RN064864
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153640219H
—
GA
Enumeration date
02/14/2011
Last updated
08/03/2023
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