Dr. Bennie Brown Jr., D.O.
Family Medicine in Evans, GA. Individual provider (NPI-1).
NPI number1770570236
StatusActive
Last updated in NPPESFeb 5, 2015
Details
- NPI
- 1770570236
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bennie Brown Jr.
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2005
- Last updated
- Feb 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 065085 | GA | Yes |
| 207Q00000X | Family Medicine | 18711 | MS |
Practice location
447 N Belair Rd Ste 101Evans, GA 30809-3091
Phone 706-854-2222 · Fax 706-854-2223
Mailing address
Po Box 1705Augusta, GA 30903-1705
Phone 706-774-7263
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