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Individual

DR. ERIKA HOUSTON BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
5615 S NC 41 HWY, WALLACE, NC 28466-6216
(910) 285-5050
(910) 285-2968
Mailing address
1950 OLD GALLOWS RD, 520, VIENNA, VA 22182-3990
(703) 847-8899
(703) 991-0514

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1762
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0925J
BCBS PROV #
NC
01
410048650
RR MEDICARE INDIVIDUAL #
NC
05
890925J
NC
Enumeration date
04/11/2006
Last updated
11/15/2017
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