Organization
DR BROWN N EKELEDO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROWN N EKELEDO MD (OWNER)
(478) 746-2719
Entity
Organization
Contact information
Practice address
770 PINE ST, SUITE 550, MACON, GA 31201-2173
(478) 746-2719
(478) 746-4808
Mailing address
770 PINE ST, SUITE 550, MACON, GA 31201-2173
(478) 746-2719
(478) 746-4808
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
025151
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000268232B
—
GA
Enumeration date
06/11/2010
Last updated
06/11/2010
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