Individual
PROF. STACEY MARIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
73888 TALLASSEE HWY, WETUMPKA, AL 36092-7308
(334) 567-6579
(334) 567-5393
Mailing address
PO BOX 1290, WETUMPKA, AL 36092-0022
(334) 567-6579
(334) 567-5393
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA252
AL
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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