Individual provider · NPI-1

Shivice Brown

Technician, Other, Renal Dialysis · Marietta, GA

NPI number1366244790
StatusActive
Last updated in NPPESMar 26, 2025

Details

NPI
1366244790
Entity type
Individual (NPI-1)
Name
Shivice Brown
Sex
Female
Sole proprietor
No
Enumeration date
Mar 26, 2025
Certification date
Mar 26, 2025
Last updated
Mar 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2472R0900X Technician, Other, Renal Dialysis–GAYes

Practice location

2000 Powers Ferry Rd Se Unit 2203
Marietta, GA 30067-9476

Phone 678-972-3742

Mailing address

2000 Powers Ferry Rd Se
Marietta, GA 30067-9476

Phone 678-972-3742

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