| Doctor Name: | DR. PAUL COLLINS BROUN |
| NPI Number: | 1477671253 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 14465 |
| Business Practice Address: | 1221 Knob Creek Dr Athens, GA - 306067040 |
| Business Phone Number: | 7062553905 |
| Business Fax Number: | 7062276373 |
| Mailing Address: | 1061 Dowdy Road, Suite 100 ATHENS |
| State: | GA |
| Postal Code: | 306065700 |
| Phone Number: | 7062547371 |
| Fax Number: | 7062083715 |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 08/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14465 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |