Individual
MR. EDDIE LORENZO BROWN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DRIVER
Contact information
Practice address
127 DEAN DR, CLARKSVILLE, TN 37040-3981
(931) 278-7408
(931) 906-9477
Mailing address
127 DEAN DR, CLARKSVILLE, TN 37040-3981
(931) 278-7408
(931) 906-9477
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3051494
—
TN
Enumeration date
08/22/2013
Last updated
08/22/2013
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