Individual
MATTHEW BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 KENNINGHALL CT SE, SMYRNA, GA 30082-3891
(646) 812-4838
Mailing address
119 KENNINGHALL CT SE, SMYRNA, GA 30082-3891
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
819385
NY
163WC0200X
Critical Care Medicine Registered Nurse
RN335463
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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