Individual
CHARLES ANTHONY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 W LIBERTY ST, SUMTER, SC 29150-4865
(803) 436-9911
(803) 436-9911
Mailing address
7998 OLD RIVER RD, PINEWOOD, SC 29125-9687
(803) 436-9911
(803) 436-9911
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
008409477
SC
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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