Organization
BROWN CHIROPRACTIC WELLNESS CENTER WR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY S BROWN DC (CHIROPRACTOR)
(478) 971-4274
Entity
Organization
Contact information
Practice address
259 CARL VINSON PKWY STE 200, WARNER ROBINS, GA 31088-5991
(478) 922-7272
Mailing address
259 CARL VINSON PKWY STE 200, WARNER ROBINS, GA 31088-5991
(478) 922-7272
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5506
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740483536
NPI #...INDIVIDUAL/TYPE 1:
GA
01
—
35ZCDQV
MEDICARE ID/ PTAN #:
GA
Enumeration date
07/10/2012
Last updated
08/28/2020
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