| Doctor Name: | CHARLES BROWN |
| NPI Number: | 1003207028 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | RN190606 |
| Business Practice Address: | 304 Turner Mccall Blvd Sw Rome, GA - 301655621 |
| Business Phone Number: | 7065096515 |
| Business Fax Number: | |
| Mailing Address: | 420 E 2nd Ave, Suite 103 ROME |
| State: | GA |
| Postal Code: | 301613209 |
| Phone Number: | 7065093000 |
| Fax Number: | |
| NPI Enumeration Date: | 02/12/2015 |
| NPI Last Update Date: | 02/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LN0000X |
| License Number: | RN190606 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Neonatal |
| Taxonomy Definition: | |