Provider Demographics
NPI:1336336676
Name:BROWNE, REISHA TWANNA (MD)
Entity Type:Individual
Prefix:DR
First Name:REISHA
Middle Name:TWANNA
Last Name:BROWNE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5410 MARYLAND WAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5064
Mailing Address - Country:US
Mailing Address - Phone:615-371-5744
Mailing Address - Fax:615-246-3939
Practice Address - Street 1:777 HEMLOCK ST
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2102
Practice Address - Country:US
Practice Address - Phone:478-633-7550
Practice Address - Fax:478-633-3235
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2012-04-23
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Provider Licenses
StateLicense IDTaxonomies
GA066763207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003113625AMedicaid
GA202I116480Medicare PIN