Provider Demographics
NPI:1386682268
Name:BROWN, PAMELA JO (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:JO
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2801 N DECATUR RD
Mailing Address - Street 2:SUITE 190
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-5949
Mailing Address - Country:US
Mailing Address - Phone:404-299-9307
Mailing Address - Fax:404-299-9309
Practice Address - Street 1:2801 N DECATUR RD
Practice Address - Street 2:SUITE 190
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-5949
Practice Address - Country:US
Practice Address - Phone:404-299-9307
Practice Address - Fax:404-299-9309
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2011-12-20
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Provider Licenses
StateLicense IDTaxonomies
GA031390207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I162115OtherMEDICARE PTAN
GA000450975GMedicaid
GA000450953FMedicaid
GA07-02508OtherUNITED HEALTHCARE
GA990012717OtherRAILROAD MEDICARE
GA0528480OtherAETNA/USHC
GA618210OtherBLUE CROSS BLUE SHIELD
GA618210OtherBLUE CROSS BLUE SHIELD