Provider Demographics
NPI:1912049644
Name:BROWN, TATIANA VOLKOVA (MD)
Entity type:Individual
Prefix:MS
First Name:TATIANA
Middle Name:VOLKOVA
Last Name:BROWN
Suffix:
Gender:
Credentials:MD
Other - Prefix:MRS
Other - First Name:TATIANA
Other - Middle Name:VOLKOVA
Other - Last Name:CHESSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8272 RIDING CLUB RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256
Mailing Address - Country:US
Mailing Address - Phone:904-909-6929
Mailing Address - Fax:
Practice Address - Street 1:655 8TH STREET W
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209
Practice Address - Country:US
Practice Address - Phone:904-244-0411
Practice Address - Fax:904-633-0641
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA73222207Q00000X, 207Q00000X, 208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine