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Contact Information

RANDALL B BROWN, MD
575 1ST ST
MACON, GA31201-2825
 Phone: 478-743-9762
 Fax: 478-746-6612
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RANDALL B BROWN · (Male)

NPI Number 1124062831
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2006
Last updated 11/12/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 031884
  • GA Medicaid 00638514B
  • GA Other 52484361 BLUE CROSS
  • GA Other 770002580 RAILROAD
Hospital affiliation(s)
  • COFFEE REGIONAL MEDICAL CENTER - (Acute Care)
    1101 OCILLA ROAD
    DOUGLAS, GA 31533
  • SOUTH GEORGIA MEDICAL CENTER - (Acute Care)
    2501 NORTH PATTERSON STREET, PO BOX 1727
    VALDOSTA, GA 31603
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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