Provider Demographics
NPI:1144407826
Name:BROWN, RAMMIE DEAN (LMBT)
Entity Type:Individual
Prefix:MR
First Name:RAMMIE
Middle Name:DEAN
Last Name:BROWN
Suffix:
Gender:M
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 MOORES LANDING RD
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-8686
Mailing Address - Country:US
Mailing Address - Phone:910-232-1058
Mailing Address - Fax:910-270-9184
Practice Address - Street 1:305 MOORES LANDING RD
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-8686
Practice Address - Country:US
Practice Address - Phone:910-232-1058
Practice Address - Fax:910-270-9184
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6740174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6740OtherNC BOARD OF MASSAGE THERA
NC197860OtherAMERICAN MASSAGE ASSOC.
521742-06OtherNATIONAL MASSAGE BOARD