Individual
MICHAEL ZACHARY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
102 N BROADWAY ST, JOHNSON CITY, TN 37601-3525
(423) 588-9978
Mailing address
2403 BROWNS MILL RD APT 27, JOHNSON CITY, TN 37604-1975
(931) 409-6953
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
99476
TN
164W00000X
Licensed Practical Nurse
Primary
99476
TN
207QA0401X
Addiction Medicine (Family Medicine) Physician
99476
TN
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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