Basic Information
Provider Information
NPI: 1710984935
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWNING
FirstName: DONALD
MiddleName: GENE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4380 GEORGETOWN SQ
Address2: STE 1002
City: ATLANTA
State: GA
PostalCode: 303386254
CountryCode: US
TelephoneNumber: 7702208400
FaxNumber: 7702349979
Practice Location
Address1: 748 OLD NORCROSS RD
Address2: SUITE 100
City: LAWRENCEVILLE
State: GA
PostalCode: 300453393
CountryCode: US
TelephoneNumber: 7703391500
FaxNumber: 7709956172
Other Information
ProviderEnumerationDate: 07/01/2005
LastUpdateDate: 08/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000X030277GAY Allopathic & Osteopathic PhysiciansOtolaryngology 
207YS0012X030277GAN Allopathic & Osteopathic PhysiciansOtolaryngologySleep Medicine

ID Information
IDTypeStateIssuerDescription
426044301GACIGNAOTHER
4001204001GARAILROAD MEDICAREOTHER


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