Individual
CONNIE YVONNE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4822 ALBEMARLE RD STE 101M, CHARLOTTE, NC 28205-6630
(704) 793-7668
(704) 817-8891
Mailing address
4822 ALBEMARLE RD STE 101M, CHARLOTTE, NC 28205-6630
(704) 793-7668
(704) 817-8891
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86-1109510
TRANSPORTATION COMPANY
NC
01
—
861109510
KINGDOM TRANSPORTATION
NC
Enumeration date
10/24/2022
Last updated
10/24/2022
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