Individual
MICHELLE THOMAS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3508 S LIVE OAK DR, MONCKS CORNER, SC 29461-8737
(843) 958-2590
(843) 606-7996
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2454
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1982
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT1193
—
SC
Enumeration date
06/29/2020
Last updated
04/16/2025
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