| Douglas R Brown Dds Pa | |
|
7660 Covington Hwy Lithonia GA 30058-7406 | |
| (770) 482-2964 | |
| (770) 482-1396 |
| Full Name | Douglas R Brown Dds Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7660 Covington Hwy, Lithonia, Georgia |
| Authorized Official Name and Position | Douglas Russell Brown (PRESIDENT) |
| Authorized Official Contact | 7704822964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas R Brown Dds Pa 7660 Covington Hwy Lithonia GA 30058-7406 Ph: (770) 482-2964 | Douglas R Brown Dds Pa 7660 Covington Hwy Lithonia GA 30058-7406 Ph: (770) 482-2964 |
| NPI Number | 1568580017 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 03/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568580017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7405 (Georgia) | Primary |
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