Individual
DR. GWENDOLYN B. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
700 RUTLEDGE AVE, CHARLESTON, SC 29403-4145
(843) 723-9582
(843) 723-7011
Mailing address
700 RUTLEDGE AVE, CHARLESTON, SC 29403-4145
(843) 723-9582
(843) 723-7011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2778
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2778
STATE LICENSE NUMBER
SC
01
—
TAX ID NUMBER
571088293
SC
05
—
Z27784
—
SC
Enumeration date
10/03/2006
Last updated
07/09/2007
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