MRS. PANDORA G BROWN (NPI# 1104343839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104343839 |
| Entity Type | Individual |
| Full Name | MRS. PANDORA G BROWN |
| Credential | CERTIFIED HAIR LOSS |
| Practice Address |
65 Black Watch Ct Fayetteville GA 30215 |
| Mailing Address |
65 Black Watch Ct Fayetteville GA 30215-8047 |
| Practice Telephone | (404) 788-8364 |
| Practice Fax Number | 7707038736 |
| Mailing Telephone | 4047888364 |
| Mailing Fax Number | 7707038736 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669915104 | Pandora Brown | Social Worker | 12751 W 10 Mile Rd, Oak Park, MI 48237-1662 | 2016-12-01 |
| Street Address |
65 BLACK WATCH CT |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801370051 | Truly Nourished, LLC | Dietitian, Registered | 500 West Lanier Ave., Suite 908, Fayetteville, GA 30215 | 2018-09-23 |
| 1902264492 | Ty-re Lamont Dixon Sr. | Durable Medical Equipment & Medical Supplies | 220 Shoreline Dr., Fayetteville, GA 30215 | 2016-01-29 |
| 1962870030 | Matthew Christian Alvarez | Dentist | 113 Ebenezer Rd Ste 101, Fayetteville, GA 30215 | 2015-09-08 |
| 1831534346 | Kevin Tyler Goelz | Radiology | 605 Wentworth Ct, Fayetteville, GA 30215 | 2013-05-10 |
| 1518249739 | William J. Holcomb | Pharmacist | 880 Hwy 85 South, Fayetteville, GA 30215 | 2011-09-14 |
| 1407168131 | All Care Home Health Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1000 Cooper Circle, Suite 201, Fayetteville, GA 30215 | 2010-07-10 |
| 1083854160 | Rachel Blanks | Licensed Practical Nurse | 170 Brookwood Lane, Fayetteville, GA 30215 | 2009-03-02 |
| 1093964975 | Brenda Carole Hayek | Nurse Practitioner | 735 Glynn Street S, Fayetteville, GA 30215 | 2008-09-16 |
| 1174700769 | Katheryn D. Mcdonell | Counselor | 110 Dawn Drive, Fayetteville, GA 30215 | 2008-01-25 |
| 1003930454 | Michelle Marie Marchese-deutscher | Occupational Therapist | 130 Howard Lane, Fayetteville, GA 30215 | 2007-03-19 |
| Find all providers in zip 30215 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363715 | Arielle Williams | Specialist | 2622 Hope Mills Rd Ste 116, Fayetteville, NC 28306-8286 | 2020-10-09 |
| 1417590704 | Charo Thomas | Specialist | 3035 Legion Rd Ste 105, Fayetteville, NC 28306-4004 | 2019-10-20 |
| 1023580917 | Erica Lawrence | Specialist | 3124 Harmony Hall Way Apt 104, Fayetteville, NC 28303-5194 | 2018-12-18 |
| 1952888703 | Sherah Ashley Lightfoot | Specialist | 2904 Brookcrossing Dr, Fayetteville, NC 28306-4615 | 2018-07-24 |
| 1376043364 | Brittani Parker | Specialist | 240 Sawtooth Dr Apt 16, Fayetteville, NC 28314-4526 | 2018-02-15 |
| 1528587730 | Barber Kings | Specialist | 2945 Hope Mills Rd Ste 112, Fayetteville, NC 28306-8261 | 2017-09-19 |
| 1801348818 | Lisa Moore | Specialist | 2147 Skyview Dr, Fayetteville, NC 28304-5126 | 2016-10-26 |
| 1902354822 | Vivian Arnold | Specialist | 518 Kenwood Rd, Fayetteville, GA 30214-3490 | 2016-09-20 |
| 1902251556 | Tracy Blackmon-paylor | Specialist | 732 Dalmore Dr, Fayetteville, NC 28311-1133 | 2016-05-02 |
| 1265887350 | Karlita Green | Specialist | 1928 Abbeydale Ln, Fayetteville, NC 28304-2942 | 2016-04-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30215 |
Please comment or provide details below to improve the information on MRS. PANDORA G BROWN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.