Individual
MR. CHARLES JACOB BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
719 EAST BOULEVARD, CHARLOTTE, NC 28203
(704) 376-9849
(704) 333-0708
Mailing address
719 EAST BOULEVARD, CHARLOTTE, NC 28203
(704) 376-9849
(704) 333-0708
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35848
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8918893
—
NC
Enumeration date
07/14/2006
Last updated
04/12/2021
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