Provider Demographics
NPI:1275813628
Name:BROWN, NIAMA JANESE NATARA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NIAMA
Middle Name:JANESE NATARA
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2400 MOUNT ZION PKWY
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-2500
Mailing Address - Country:US
Mailing Address - Phone:770-603-3936
Mailing Address - Fax:770-603-3782
Practice Address - Street 1:2400 MOUNT ZION PKWY
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-2500
Practice Address - Country:US
Practice Address - Phone:770-603-3936
Practice Address - Fax:770-603-3782
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0228581835P0018X
NC176861835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist