Provider Demographics
NPI:1568642569
Name:LORRAINE BROWN, D.O., P.C.
Entity Type:Organization
Organization Name:LORRAINE BROWN, D.O., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:706-252-9900
Mailing Address - Street 1:1073 WOODLAND HWY
Mailing Address - Street 2:STE B
Mailing Address - City:TALBOTTON
Mailing Address - State:GA
Mailing Address - Zip Code:31827
Mailing Address - Country:US
Mailing Address - Phone:706-252-9900
Mailing Address - Fax:706-252-9901
Practice Address - Street 1:1073 WOODLAND HWY
Practice Address - Street 2:STE B
Practice Address - City:TALBOTTON
Practice Address - State:GA
Practice Address - Zip Code:31827
Practice Address - Country:US
Practice Address - Phone:706-252-9900
Practice Address - Fax:706-252-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA58152207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty