Individual provider · NPI-1

Shirley P Brown

Nurse's Aide · Lithonia, GA

NPI number1952075210
StatusActive
Last updated in NPPESAug 2, 2021

Details

NPI
1952075210
Entity type
Individual (NPI-1)
Name
Shirley P Brown
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 2, 2021
Certification date
Aug 2, 2021
Last updated
Aug 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's AideCN0030049983GAYes

Practice location

5528 Mallard Trl
Lithonia, GA 30058-5488

Phone 470-455-6682

Mailing address

5528 Mallard Trl
Lithonia, GA 30058-5488

Phone 470-455-6682

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