Individual
ALYCIA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
204A AUSTIN AVE, CARROLLTON, GA 30117-3906
(267) 319-6789
Mailing address
204A AUSTIN AVE, CARROLLTON, GA 30117-3906
(267) 319-6789
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN095385
GA
164W00000X
Licensed Practical Nurse
PN304378
PA
Other
Enumeration date
09/23/2018
Last updated
09/23/2018
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