Individual
MR. GARY W. BROWN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
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 37879-4385
(423) 626-0277
(423) 626-0082
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
14103
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14103
MEDICAL LICENSURE
TN
Enumeration date
04/14/2009
Last updated
06/26/2024
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