Individual
MICKEY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-5105
Mailing address
1802 6TH AVE. S., BIRMINGHAM, AL 35249
(205) 934-5105
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-130720
AL
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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