Individual
TYLER BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-0288
Mailing address
10 PRIMROSE CT, SAVANNAH, GA 31419-8389
(229) 869-3368
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1017905
MA
2085R0202X
Diagnostic Radiology Physician
93434
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
03/22/2019
Last updated
04/28/2026
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