Provider Demographics
NPI:1760405211
Name:BROWN, FRANK WAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:WAYNE
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1841 CLIFTON RD NE
Mailing Address - Street 2:SUITE 344, DEPARTMENT OF PSYCHIATRY
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-4021
Mailing Address - Country:US
Mailing Address - Phone:404-728-6306
Mailing Address - Fax:404-728-4963
Practice Address - Street 1:1899 E GATE DR
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-1912
Practice Address - Country:US
Practice Address - Phone:404-728-6306
Practice Address - Fax:404-728-4963
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0312122084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD84089Medicare UPIN