Provider Demographics
NPI:1285942102
Name:BROWN, KARIN DENISE (RN)
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:DENISE
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3903 S COBB DR SE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-8504
Mailing Address - Country:US
Mailing Address - Phone:770-363-8770
Mailing Address - Fax:770-436-8042
Practice Address - Street 1:3903 S COBB DR SE
Practice Address - Street 2:SUITE 220
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-8504
Practice Address - Country:US
Practice Address - Phone:770-363-8770
Practice Address - Fax:770-436-8042
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN163727163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse