Individual
DR. KOFI DEMETRICK BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4365 ROSWELL RD NE STE 4411, ATLANTA, GA 30342-3315
(470) 239-1180
Mailing address
4509 LACOSTA DR, ALBANY, GA 31721-9483
(229) 376-9234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
123168
GA
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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