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Individual

DANIEL PATRICK BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
190 W MAIN ST, CAMDEN, TN 38320-1609
(731) 213-2662
Mailing address
177 WESTVIEW ST, CAMDEN, TN 38320-1319
(731) 441-2825

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3033
TN
363A00000X
Physician Assistant
Primary
3033
TN
363AM0700X
Medical Physician Assistant
3033
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3380640
TN
05
Q022617
TN
Enumeration date
04/28/2016
Last updated
08/04/2021
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