Provider Demographics
NPI:1851595482
Name:BROWN, STEVEN MARSHALL (CEAP)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:MARSHALL
Last Name:BROWN
Suffix:
Gender:M
Credentials:CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 SLOAN ST
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-4946
Mailing Address - Country:US
Mailing Address - Phone:404-502-3991
Mailing Address - Fax:
Practice Address - Street 1:1105 W PEACHTREE ST NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3608
Practice Address - Country:US
Practice Address - Phone:404-853-2850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA34595146M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, Intermediate