Most Relevant Information
Provider Data
| NPI Number: | 1003027434 |
| Provider Name: | MICHELLE RENEE BROWN N.P. |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 067038 |
Most Important Dates
| Enumeration Date: | 05/25/2007 |
| Last Updated: | 10/29/2014 |
Provider Practice Location
655 1ST ST
MACON
GA
312012852
Practice Location Phone/Fax
| Phone: | 4783015930 |
| Fax: | 4783015932 |
Provider Mailing Location
MERCER MEDICINE CREDENTIALING
1327 STADIUM DRIVE
MACON
GA
312071302
Provider Mailing Phone/Fax
| Phone: | 4783012362 |
| Fax: | 4783012391 |