Individual
MRS. TISHA MICHELLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1010 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2806
(866) 389-2727
Mailing address
3531 ROGERS RD, LORIS, SC 29569-3215
(843) 504-9946
(843) 756-9333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18316
SC
Other
Enumeration date
06/15/2013
Last updated
06/15/2013
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