Provider Demographics
NPI:1679358501
Name:BE STROWN ENTERPRISES LLC
Entity type:Organization
Organization Name:BE STROWN ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:STROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-352-6593
Mailing Address - Street 1:PO BOX 366433
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30336-6433
Mailing Address - Country:US
Mailing Address - Phone:470-352-6593
Mailing Address - Fax:
Practice Address - Street 1:4080 HIGHWAY 92
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-4404
Practice Address - Country:US
Practice Address - Phone:470-470-6593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-29
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies