Individual
SHIRLEY P BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5528 MALLARD TRL, LITHONIA, GA 30058-5488
(470) 455-6682
Mailing address
5528 MALLARD TRL, LITHONIA, GA 30058-5488
(470) 455-6682
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0030049983
GA
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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