Individual
MR. DONNELL COREY BROWN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE AIDE
Contact information
Practice address
519 ORCHARD DRIVE, EDEN, NC 27288
(336) 613-0473
Mailing address
P.O. BOX 203, EDEN, NC 27289
(336) 613-0473
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376K00000X
Nurse's Aide
Primary
425786
NC
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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