Charnissa Brown

NPI #1477091544 in Quitman, Georgia

Provider Information

NPI Number: 1477091544
Entity Type: Individual
Name: Charnissa Brown
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Feb 8, 2017
Last Updated: Feb 8, 2017

Practice Location

Address: 6589 DRY LAKE RD
City: Quitman
State: Georgia
ZIP Code: 31643-5905
Phone: (229) 263-6947

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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