Provider Demographics
NPI:1548314636
Name:BROWN, LUMIS COATS (DDS)
Entity type:Individual
Prefix:DR
First Name:LUMIS
Middle Name:COATS
Last Name:BROWN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:225 5TH ST NE
Mailing Address - Street 2:
Mailing Address - City:CAIRO
Mailing Address - State:GA
Mailing Address - Zip Code:39828
Mailing Address - Country:US
Mailing Address - Phone:229-377-6125
Mailing Address - Fax:229-377-5601
Practice Address - Street 1:MYA P GREENBERG DMD LLC
Practice Address - Street 2:225 5TH ST NE
Practice Address - City:CAIRO
Practice Address - State:GA
Practice Address - Zip Code:39828
Practice Address - Country:US
Practice Address - Phone:229-377-6125
Practice Address - Fax:229-377-5601
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN009404122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00221251A4Medicaid
GA000221251AMedicaid