Individual
DR. JUSTIN C BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3186
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3186
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2006-00258
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
2006-00258
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01151965
AMERIGROUP COMMUNITY CARE
SC
01
—
142VW
BCBS NC
NC
01
—
189766
MEDCOST
NC
01
—
20099589
SELECT HEALTH OF SC
SC
05
—
401804400
—
MD
01
—
5193595
AETNA
NC
01
—
5779672
COVENTRY HEALTHCARE
NC
05
—
5903896
—
NC
01
—
773868
WELLCARE
SC
01
—
80824
CHCCARES OF SC
SC
05
—
N58006
—
SC
Enumeration date
05/03/2006
Last updated
04/26/2021
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