Provider Demographics
NPI:1144725250
Name:BROWN, SONYA YVETTE (G)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:YVETTE
Last Name:BROWN
Suffix:
Gender:F
Credentials:G
Other - Prefix:
Other - First Name:SONYA
Other - Middle Name:YVETTE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2822 SPELMAN DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-4319
Mailing Address - Country:US
Mailing Address - Phone:229-449-8615
Mailing Address - Fax:
Practice Address - Street 1:2822 SPELMAN DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-4319
Practice Address - Country:US
Practice Address - Phone:229-449-8615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-29
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor