Individual
SUZANNE M BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7997
(207) 621-1880
(207) 621-1881
Mailing address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7997
(207) 621-1880
(207) 621-1881
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA001206
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435779399
—
ME
Enumeration date
07/22/2005
Last updated
01/15/2021
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