NPI 1679211981

Angela Kate Reeaves Brown, DRIVER

Practitioner Driver Macon, GA

Practice location

Address: 142 Alton Rd, Macon, GA 31211-7422
Phone: (478) 353-2246

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 968 (GA)

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Registry record

NPI: 1679211981
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2022
Record last updated: 25 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.