Individual
HEATHER DEEANN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
240 MEDICAL PARK BLVD STE 2700, BRISTOL, TN 37620-7352
(423) 844-0501
(423) 844-0006
Mailing address
240 MEDICAL PARK BLVD STE 2700, BRISTOL, TN 37620-7352
(423) 844-0501
(423) 844-0006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1994
TN
363AM0700X
Medical Physician Assistant
1994
TN
363AS0400X
Surgical Physician Assistant
1994
TN
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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