Individual
DONNA MARIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 WHITE DOGWOOD LN, POOLER, GA 31322-5006
(912) 450-7367
(912) 988-3149
Mailing address
125 WHITE DOGWOOD LN, POOLER, GA 31322-5006
(912) 450-7367
(912) 988-3149
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003005
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000789027B
—
GA
Enumeration date
10/14/2014
Last updated
10/14/2014
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