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Janessa Mechelle Brown

Military Clinical Medical Laboratory in Fort Stewart, GA. Individual provider (NPI-1).

NPI number1699153569
StatusActive
Last updated in NPPESMay 12, 2015

Details

NPI
1699153569
Entity type
Individual (NPI-1)
Name
Miss Janessa Mechelle Brown
Sex
Female
Sole proprietor
Yes
Enumeration date
May 12, 2015
Last updated
May 12, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291900000X Military Clinical Medical Laboratory––Yes

Practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Phone 912-435-8061

Mailing address

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Phone 912-435-8061

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