Individual
TERESA LYNN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1005 MEEHAN WAY, PENDLETON, SC 29670-1860
(864) 512-5783
(864) 646-3377
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(648) 512-5783
(864) 646-3377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51284
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MEDICAID
512840
SC
Enumeration date
10/11/2006
Last updated
06/05/2023
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