Individual
SHAKAIRA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5737
Mailing address
613 FARR RD, # 4E, COLUMBUS, GA 31907-6448
(706) 464-6935
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN081335
GA
Other
Enumeration date
09/07/2008
Last updated
12/11/2013
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