S Tyrus C Brown in Royston - Physician Assistant

S Tyrus C Brown - NPI 1609843572

S Tyrus C Brown is a Physician Assistant in Royston, Georgia. S Tyrus C Brown practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for S Tyrus C Brown is 1609843572. The last update date is 2009-03-03.

S Tyrus C Brown's current location address is 132 Franklin Springs Street, Royston, Georgia. You can contact this provider via phone number 7062457371 and fax number 7062459257. The mailing address for S Tyrus C Brown is 132 Franklin Springs Street, Royston, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name S Tyrus C Brown
Address 132 Franklin Springs Street, Royston, Georgia
Phone Number 7062457371
Fax Number 7062459257
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1609843572
Provider Enumeration Date 2006-03-01
Last Updated Date 2009-03-03

Provider Mailing Address Detail

Address 132 Franklin Springs Street
City Royston
State Georgia (GA)
Post Code 30662
Phone Number 7062457371
Fax Number 7062459257

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1914
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
646193337B GA --

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FAQs about S Tyrus C Brown

What is the S Tyrus C Brown's specialty and taxonomy code?

The S Tyrus C Brown's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

What is the area of specialization for S Tyrus C Brown, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for S Tyrus C Brown is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

When was the S Tyrus C Brown's 1609843572 issued?

The S Tyrus C Brown's 1609843572 was issued on 2006-03-01.

On what date did the Centers for Medicare & Medicaid Services issue the 1609843572 to S Tyrus C Brown?

The S Tyrus C Brown received its 1609843572 assignment from the Centers for Medicare & Medicaid Services on 2006-03-01.

When was the information pertaining to S Tyrus C Brown most recently updated or revised?

The details related to S Tyrus C Brown, including its address, specialty, and other relevant information, were last updated or revised on 2009-03-03.

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