| Doctor Name: | DR. ROLAND MANOUTCHEHER BROWN |
| NPI Number: | 1295818581 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 043008 |
| Business Practice Address: | 2801 S Main St Moultrie, GA - 317686908 |
| Business Phone Number: | 2298912170 |
| Business Fax Number: | 2298903606 |
| Mailing Address: | 2801 S Main St, MOULTRIE |
| State: | GA |
| Postal Code: | 317686908 |
| Phone Number: | 2298912170 |
| Fax Number: | 2298903606 |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 12/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 043008 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |