Individual
JEANNE NICOLE EISENBROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
619 S 8TH ST STE 304, GRIFFIN, GA 30224-4260
(706) 242-5201
(706) 242-5204
Mailing address
619 S 8TH ST STE 304, GRIFFIN, GA 30224-4260
(706) 242-5201
(706) 242-5204
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
97508
GA
208800000X
Urology Physician
CDR.0004775
CO
208800000X
Urology Physician
ME84013
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264546700
—
FL
Enumeration date
09/20/2005
Last updated
08/18/2025
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