Dr Roland Manoutcheher Brown, MD is a
General Practice physician based in Moultrie, Georgia. Dr Roland Manoutcheher Brown is licensed to practice in Georgia (license number O43008) and his current practice location is 2801 S Main St, Moultrie, Georgia. He can be reached at his office (for appointments etc.) via phone at
(229) 891-2170.
NPI number for Dr Roland Manoutcheher Brown is 1295818581 and his current mailing address is 2801 S Main St, Moultrie, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295818581.
Physician's Profile
| Full Name | Dr Roland Manoutcheher Brown |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 2801 S Main St, Moultrie, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295818581
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 10/04/2019
Medical Identifiers
Medical identifiers for Dr Roland Manoutcheher Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295818581 | NPI | - | NPPES |
| 85001900G | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | O43008 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Roland Manoutcheher Brown is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Roland Manoutcheher Brown, MD
2801 S Main St,
Moultrie, GA 31768-6908
Ph: (229) 891-2170 | Dr Roland Manoutcheher Brown, MD
2801 S Main St,
Moultrie, GA 31768-6908
Ph: (229) 891-2170 |
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