Individual
DR. KARLA RENEE CHEATHAM BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 SUNRISE TRL, CARBONDALE, IL 62902-7523
(618) 457-2249
Mailing address
110 SUNRISE TRL, CARBONDALE, IL 62902-7523
(618) 457-2249
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
152528
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1557048
—
LA
Enumeration date
09/26/2008
Last updated
09/26/2008
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