Organization
BROWN FAMILY PRACTICE, INC.
Active
Other names
Calvary Medical
Organization subpart
No
Provider details
NPI number
Authorized official
GARY WAYNE BROWN NP (OWNER)
(423) 626-0277
Entity
Organization
Contact information
Practice address
1582 N BROAD ST, SUITE 2, TAZEWELL, TN 37879-4352
(423) 626-0277
(423) 626-0082
Mailing address
1582 N BROAD ST STE 2, TAZEWELL, TN 37879-4352
(423) 626-0277
(423) 626-0082
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
APN14103
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN 14103
APN LICENSE
TN
Enumeration date
08/16/2016
Last updated
06/26/2024
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