Provider Demographics
NPI:1205219920
Name:BROWN, PEOMIA CHELA LEE (MD)
Entity Type:Individual
Prefix:
First Name:PEOMIA
Middle Name:CHELA LEE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1901 PERDIDO ST STE 3205
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-1393
Mailing Address - Country:US
Mailing Address - Phone:504-568-2903
Mailing Address - Fax:504-568-4295
Practice Address - Street 1:1901 PERDIDO ST STE 3205
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-1393
Practice Address - Country:US
Practice Address - Phone:504-568-2903
Practice Address - Fax:504-568-4295
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA312539207R00000X
GA080069207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine