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Individual

DR. SUZANNE JEANNETTE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
102 PHYSICIANS BLVD, GLASGOW, KY 42141-1299
(270) 651-1082
Mailing address
102 PHYSICIANS BLVD, GLASGOW, KY 42141-1299
(270) 651-1082

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
4301086924
MI
207RH0003X
Hematology & Oncology Physician
Primary
TP928
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000640647
ANTHEM
KY
05
7100099520
KY
Enumeration date
07/30/2007
Last updated
03/09/2010
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