Most Relevant Information
Provider Data
| NPI Number: | 1003176504 |
| Provider Name: | SOPHIA NICOLE BROWN ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AT001779 |
Most Important Dates
| Enumeration Date: | 05/18/2012 |
| Last Updated: | 05/18/2012 |
Provider Practice Location
7423 ADAIRSVILLE HWY
ADAIRSVILLE
GA
301032014
Practice Location Phone/Fax
| Phone: | 7707739315 |
| Fax: | 7707739717 |
Provider Mailing Location
PO BOX 949
ROME
GA
301620949
Provider Mailing Phone/Fax
| Phone: | 7062362774 |
| Fax: | 7062362783 |