Provider Demographics
NPI:1538178728
Name:BROWN, SONIA ANDREA (MD)
Entity type:Individual
Prefix:DR
First Name:SONIA
Middle Name:ANDREA
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SONIA
Other - Middle Name:ANDREA
Other - Last Name:BROWN-SHEPHERD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3588 HWY 138
Mailing Address - Street 2:STE 166
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-7148
Mailing Address - Country:US
Mailing Address - Phone:772-618-3133
Mailing Address - Fax:877-284-8933
Practice Address - Street 1:3588 HWY 138
Practice Address - Street 2:STE 166
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7148
Practice Address - Country:US
Practice Address - Phone:772-618-3133
Practice Address - Fax:770-507-6009
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA057439207Q00000X
ORMD2187372083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I087044Medicare PIN
H43875Medicare UPIN