Individual
TIQUILLA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5108 BISCAYNE DR, COLUMBUS, GA 31907-3511
(706) 992-1019
Mailing address
5108 BISCAYNE DR, COLUMBUS, GA 31907-3511
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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