Provider Demographics
NPI:1154085702
Name:KEARSE-BROWN, DEMETRIA
Entity Type:Individual
Prefix:MRS
First Name:DEMETRIA
Middle Name:
Last Name:KEARSE-BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 SHARON CIR
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-2745
Mailing Address - Country:US
Mailing Address - Phone:229-942-9092
Mailing Address - Fax:229-380-4102
Practice Address - Street 1:126 SHARON CIR
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-2745
Practice Address - Country:US
Practice Address - Phone:229-942-9092
Practice Address - Fax:229-380-4102
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty