Provider Demographics
NPI:1194825083
Name:BROWN, DONALD C (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:C
Last Name:BROWN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:580 NEW WAVERLY PL
Mailing Address - Street 2:STE 120
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7406
Mailing Address - Country:US
Mailing Address - Phone:919-858-8360
Mailing Address - Fax:919-858-8408
Practice Address - Street 1:580 NEW WAVERLY PL
Practice Address - Street 2:STE 120
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7406
Practice Address - Country:US
Practice Address - Phone:919-858-8360
Practice Address - Fax:919-858-8408
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2010-05-20
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Provider Licenses
StateLicense IDTaxonomies
NC19315207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC18897OtherBCBS
NC8918897Medicaid
C81557Medicare UPIN
NC8918897Medicaid