Individual
MR. JEFFREY MICHAEL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
225 E WOOD ST, SPARTANBURG, SC 29303-3050
(864) 583-4420
(864) 560-4413
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
657
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0483PA
—
SC
01
—
195809
MEDCOST
SC
01
—
R397245019
MEDICARE PIN
SC
Enumeration date
04/08/2006
Last updated
12/03/2020
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