Individual
DR. HAZEL JOHNSON BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
410 W 14TH ST, GREENVILLE, NC 27834-4074
(252) 758-8110
(252) 758-1040
Mailing address
410 W 14TH ST, GREENVILLE, NC 27834-4074
(252) 758-8110
(252) 758-1040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4467
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8991128
—
NC
Enumeration date
09/20/2006
Last updated
05/11/2010
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