Individual
ANASTASIA C BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4600 FORT HENRY DR, KINGSPORT, TN 37663-2617
(423) 224-3950
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101250876
VA
207Q00000X
Family Medicine Physician
Primary
MD 42889
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548453327
—
VA
05
—
3006752
—
TN
01
—
P00803823
RR MEDICARE
TN
Enumeration date
08/24/2007
Last updated
11/13/2023
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