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Individual

DR. HARRIS RADCLIFF BROWN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
251 N BAYOU ST, MOBILE, AL 36603-5827
(251) 690-8139
(251) 544-2149
Mailing address
PO BOX 2867, MOBILE, AL 36652-2867
(251) 690-8139
(251) 544-2149

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
LNO 5761
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011846
MEDICARE GROUP PAYEE NUMBER
AL
01
1063439065
GROUP NPI PAYEE NUMBER
AL
Enumeration date
07/16/2010
Last updated
07/16/2010
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