# CLAYTON G BROWN MD A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215238878
- **Authorized official:** DR. CLAYTON GIACOBBE BROWN M.D. (INCORPORATOR)
- **Authorized official phone:** (225) 654-0027

## Contact information

- **Practice address:** 2335 CHURCH ST STE F, ZACHARY, LA 70791-2700
- **Practice address phone:** (225) 654-0027
- **Practice address fax:** (225) 654-0052
- **Mailing address:** 2335 CHURCH ST, STE F, ZACHARY, LA 70791-2700
- **Mailing address phone:** (225) 654-0027
- **Mailing address fax:** (225) 654-0052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 014714 | LA | Yes |

## Other

- **Enumeration date:** 11/12/2010
- **Last updated:** 02/09/2011