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Individual

TODD B BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
188 THOMAS PL, WEST END, NC 27376-8350
(910) 705-5213
Mailing address
188 THOMAS PL, WEST END, NC 27376-8350
(910) 705-5213

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00026140
AL
207P00000X
Emergency Medicine Physician
Primary
2009-00061
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009912367
AL
05
009935576
AL
01
051524273
BCBS PROVIDER NUMBER
AL
05
051524273
AL
01
051532871
BCBS PROVIDER NUMBER
AL
01
051541689
BCBS
AL
Enumeration date
11/14/2005
Last updated
01/26/2021
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