Individual
MR. DEOIZ BROWN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16104 PARASOL TREE PL APT 102, CHARLOTTE, NC 28278-7473
(330) 622-0630
Mailing address
16104 PARASOL TREE PL APT 102, CHARLOTTE, NC 28278-7473
(330) 622-0630
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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