Provider Demographics
NPI:1902121130
Name:BROWNE, NATHAN BRADLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:BRADLEY
Last Name:BROWNE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 FOUNTAIN OAKS WAY
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-2576
Mailing Address - Country:US
Mailing Address - Phone:404-323-3233
Mailing Address - Fax:
Practice Address - Street 1:1801 PEACHTREE ST NE
Practice Address - Street 2:SUITE 250
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1815
Practice Address - Country:US
Practice Address - Phone:404-323-3233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008634111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor