Dr. Annie Beatrice Brown, DMD
Dentist, General Practice in Woodstock, GA. Individual provider (NPI-1).
NPI number1104030287
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104030287
- Entity type
- Individual (NPI-1)
- Name
- Dr. Annie Beatrice Brown
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- Medicare opt-out
- Mar 23, 2016 to Mar 23, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN011035 | GA | Yes |
Practice location
10182 Hickory Flat HwyWoodstock, GA 30188-3091
Phone 770-442-8504
Mailing address
10182 Hickory Flat HwyWoodstock, GA 30188-3091
Phone 770-442-8504
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