Individual provider · Type 1 NPI
Priscilla Denise Brown
Prosthetic/Orthotic Supplier · Fort Gordon, GA
Practice location
38200 3rd Ave
Fort Gordon, GA 30905
Mailing address
3551 Windsor Spring Rd Apt 55
Hephzibah, GA 30815-7158
Other practice locations
- 3551 Windsor Spring Rd Apt 55, Hephzibah, GA 30815-7158 · (678) 598-0022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
About NPI 1417508995
Priscilla Denise Brown's National Provider Identifier is 1417508995, issued on Sep 25, 2019. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Fort Gordon, GA. The record was last updated on Sep 25, 2019.