Brown Family Practice, Llc

NPI 1013257633 - Clinic/Center - 261QP2300X

NPI Details
NPI 1013257633
Enumeration Date 02/19/2013
Last Updated 03/22/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CRYSTAL L CRYSTAL
Position PHYSICIAN
Phone (478) 827-1971
Fax (478) 827-1973
Practice Location
701 BLUEBIRD BLVD
FORT VALLEY GA, 31030-5085, US
Phone (478) 827-1971
Fax (478) 827-1973
Business Location
701 BLUEBIRD BLVD
FORT VALLEY GA, 31030-5085, US
Phone (478) 827-1971
Fax (478) 827-1973
Toxanomy
Taxonomy Code 261QP2300X
License State Georgia
License Number 036348
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According to our database, Brown Family Practice, Llc NPI is 1013257633, taxonomy code is 261QP2300X and license number is 036348, license state is located at Georgia. Brown Family Practice, Llc physically located at 701 Bluebird Blvd, Fort Valley GA, 31030-5085. NPI Number 1033115704 has the healthcare provider type.

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1013257633 NPI number is provided on an as is basis without warranty of any kind. 1013257633 is maintained by the National Plan & Provider Enumeration System. The contents of Brown Family Practice, Llc are for informational purposes only.