Provider Demographics
NPI:1245250422
Name:BROWN, DONALD FRANKLIN JR (ATC;LAT)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:FRANKLIN
Last Name:BROWN
Suffix:JR
Gender:M
Credentials:ATC;LAT
Other - Prefix:
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Mailing Address - Street 1:306 REHOBOTH RD SW
Mailing Address - Street 2:
Mailing Address - City:CAVE SPRING
Mailing Address - State:GA
Mailing Address - Zip Code:30124-2974
Mailing Address - Country:US
Mailing Address - Phone:770-546-1273
Mailing Address - Fax:
Practice Address - Street 1:958 JOE FRANK HARRIS PKWY SE
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-2158
Practice Address - Country:US
Practice Address - Phone:770-387-8188
Practice Address - Fax:770-606-2110
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0001792255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer