Jerell R Brown, MD
Anesthesiology in Stockbridge, GA. Individual provider (NPI-1).
NPI number1265726954
StatusActive
Last updated in NPPESJan 22, 2014
Details
- NPI
- 1265726954
- Entity type
- Individual (NPI-1)
- Name
- Jerell R Brown
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 31, 2011
- Last updated
- Jan 22, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 070856 | GA | Yes |
| 207L00000X | Anesthesiology | 30126 | SC |
Practice location
1133 Eagles Landing PkwyStockbridge, GA 30281-5085
Phone 678-604-1053
Mailing address
1133 Eagles Landing PkwyStockbridge, GA 30281-5085
Phone 678-604-1053
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