Individual
TIMOTHY ROGER BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22725 HIGHWAY 76 E, CLINTON, SC 29325
(864) 833-9100
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO 1477
SC
208M00000X
Hospitalist Physician
Primary
1477
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014772
—
SC
Enumeration date
06/20/2009
Last updated
08/27/2019
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