Individual
AMY L BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2157 RITTER DR, DANIELS, WV 25832-9371
(304) 252-8551
(304) 252-1790
Mailing address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
(304) 252-8551
(304) 252-1790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2048
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001877627
BCBS
—
05
—
0035054003
—
WV
05
—
3810005895
—
WV
01
—
439599
CARELINK
—
05
—
98424
—
WV
Enumeration date
09/28/2006
Last updated
09/27/2012
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