Individual
COREY DONYELL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
575 MAIN ST, SUITE 351, LAUREL, MD 20707-4343
(301) 498-5990
Mailing address
7924 CALEDONIA ST, ALEXANDRIA, VA 22309-1006
(301) 498-5990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003408
MD
Other
Enumeration date
02/27/2007
Last updated
10/22/2007
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