Individual
LYNETTE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451
Mailing address
201 HOSPITAL RD, CANTON, GA 30114-2408
(770) 720-5100
(404) 851-6325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
067393
GA
208000000X
Pediatrics Physician
4301056716
MI
208M00000X
Hospitalist Physician
Primary
067393
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003134575A
—
GA
Enumeration date
06/02/2006
Last updated
03/05/2018
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