Provider Demographics
NPI:1437198603
Name:BROWN, MARCUS L (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:L
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5670 PEACHTREE DUNWOODY
Mailing Address - Street 2:SUITE 880
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1699
Mailing Address - Country:US
Mailing Address - Phone:404-256-2525
Mailing Address - Fax:404-845-4720
Practice Address - Street 1:5670 PEACHTREE DUNWOODY
Practice Address - Street 2:SUITE 880
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1699
Practice Address - Country:US
Practice Address - Phone:404-256-2525
Practice Address - Fax:404-845-4720
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2021-02-26
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Provider Licenses
StateLicense IDTaxonomies
AL26517174400000X
GA050346207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009936179Medicaid
GA666103003CMedicaid
GA666103003CMedicaid
ALH44273Medicare UPIN