Individual ProviderLynette BrownHospitalistAllopathic & Osteopathic PhysiciansPractice Address450 Northside Cherokee Blvd, Canton, GA 30115-8015(770) 224-1000(770) 720-5100PECOS EnrollmentBased on the most recent information from CMS, provider Lynette Brown is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1902844061Provider TypeIndividualFull NameBrown, LynetteCredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/2/2006Last Updated3/5/2018Contact InformationPractice LocationPractice Address450 Northside Cherokee Blvd, Canton, GA 30115-8015Phone(770) 224-1000Fax(770) 224-2451Mailing LocationMailing Address201 Hospital Rd, Canton, GA 30114-2408Phone(770) 720-5100Fax(404) 851-6325Provider TaxonomiesCodeDescriptionLicenseCode208M00000XPrimaryDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense067393GeorgiaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense067393GeorgiaCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense4301056716MichiganProvider IdentifiersIDDescriptionIssuerID003134575ADescriptionMedicaidIssuerUnlistedGeorgia