J. Rena Owsley-Brown in Fayetteville - General Practice

J. Rena Owsley-Brown - NPI 1144254004

J. Rena Owsley-Brown is a General Practice in Fayetteville, Georgia. J. Rena Owsley-Brown practices all healthcare services and medical treatments related to General Practice. The NPI Number for J. Rena Owsley-Brown is 1144254004. The last update date is 2007-07-08.

J. Rena Owsley-Brown's current location address is 1275 Highway 54 W, Fayetteville, Georgia. You can contact this provider via phone number 7704615500 and fax number 7704611033. The mailing address for J. Rena Owsley-Brown is 1275 Highway 54 W, Fayetteville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name J. Rena Owsley-Brown
Address 1275 Highway 54 W, Fayetteville, Georgia
Phone Number 7704615500
Fax Number 7704611033
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1144254004
Provider Enumeration Date 2006-07-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1275 Highway 54 W
City Fayetteville
State Georgia (GA)
Post Code 302144549
Phone Number 7704615500
Fax Number 7704611033

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN012893
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
791041331A GA --

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FAQs about J. Rena Owsley-Brown

What is the unique identification code assigned to J. Rena Owsley-Brown by the Centers for Medicare & Medicaid Services?

The J. Rena Owsley-Brown has been issued the NPI (National Provider Identifier) 1144254004. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where J. Rena Owsley-Brown is physically located?

The J. Rena Owsley-Brown is physically situated at the following address: 1275 Highway 54 W, Fayetteville, GA, 302144549.

What is J. Rena Owsley-Brown's specialized field of practice, and what is the corresponding taxonomy classification code?

The J. Rena Owsley-Brown's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the J. Rena Owsley-Brown receive its 1144254004 assignment from the Centers for Medicare & Medicaid Services?

The J. Rena Owsley-Brown was assigned its 1144254004 by the Centers for Medicare & Medicaid Services on 2006-07-10.

As of what date was the information pertaining to J. Rena Owsley-Brown, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to J. Rena Owsley-Brown, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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