Organization
SHERVONDALONN R BROWN, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE M BRIGGS (BILLING COORDINATOR)
(225) 454-6000
Entity
Organization
Contact information
Practice address
7855 HOWELL BLVD, STE 200, BATON ROUGE, LA 70807-5239
(225) 454-6000
(225) 454-6010
Mailing address
7855 HOWELL BLVD, STE 200, BATON ROUGE, LA 70807-5239
(225) 454-6000
(225) 454-6010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1583405
—
LA
Enumeration date
10/24/2006
Last updated
10/02/2007
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