Individual
BLAINE K BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1130 N CHURCH ST STE 100, GREENSBORO, NC 27401-1041
(336) 375-2300
(336) 375-2314
Mailing address
1130 N CHURCH ST STE 100, GREENSBORO, NC 27401-1041
(336) 375-2300
(336) 375-2314
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0010-09941
NC
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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