Individual
BEVERLEY B BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2145 MOUNT PLEASANT BLVD SE, ROANOKE, VA 24014-3632
(540) 427-9200
Mailing address
247 SUMMIT WAY SW, ROANOKE, VA 24014-5159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101237062
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010090938
—
VA
05
—
010096197
—
VA
Enumeration date
11/04/2005
Last updated
08/11/2011
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