Individual
DR. EVERETT WADE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 BELLE CHASSE HWY. STE. B-2, B-2, GRETNA, LA 70056
(504) 349-2273
(504) 349-6160
Mailing address
2600 BELLE CHASSE HWY., B-2, GRETNA, LA 70056
(504) 349-2273
(504) 349-6160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025610
LA
208000000X
Pediatrics Physician
025610
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025610
STATE LICENSE
LA
05
—
1042935
—
LA
Enumeration date
09/12/2005
Last updated
01/26/2021
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