| Kirby L. Brown, Dmd, Pc | |
|
630 Goodyear Ave Rockmart GA 30153-2506 | |
| (770) 684-9449 | |
| (770) 684-3939 |
| Full Name | Kirby L. Brown, Dmd, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 630 Goodyear Ave, Rockmart, Georgia |
| Authorized Official Name and Position | Kirby L. Brown (PRESIDENT) |
| Authorized Official Contact | 7706849449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirby L. Brown, Dmd, Pc Po Box 232 Rockmart GA 30153-0232 Ph: (770) 684-9449 | Kirby L. Brown, Dmd, Pc 630 Goodyear Ave Rockmart GA 30153-2506 Ph: (770) 684-9449 |
| NPI Number | 1750409215 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750409215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN011174 (Georgia) | Primary |