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Individual
MR. RAYMOND E BROWN
Active
Individual
MR. RAYMOND E BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101605
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1286PA
—
SC
01
—
164XH
BCBSNC
NC
01
—
4239461
AETNA POS
—
01
—
7052304
AETNA
NC
05
—
8103077
—
NC
01
—
970011339
RAILROAD MEDICARE
NC
01
—
98459
MEDCOST
—
Enumeration date
03/09/2006
Last updated
11/21/2016
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