Organization
GARY R. BROWN, M.D.
Active
Parent organization
GARY ROSS BROWN, M.D.
Other names
NORTHSHORE DERMATOLOGY ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARY ROSS BROWN, M.D.
Authorized official
MRS. MARTELLE J NUNES (BUSINESS MANAGER)
(985) 893-2620
Entity
Organization
Contact information
Practice address
1011 S TYLER ST, COVINGTON, LA 70433-3631
(985) 893-2620
(985) 893-3050
Mailing address
1011 S TYLER ST, COVINGTON, LA 70433-3631
(985) 893-2620
(985) 893-3050
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD02912R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1132896
—
LA
Enumeration date
10/18/2007
Last updated
06/19/2008
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