Provider Demographics
NPI:1558389049
Name:REBECCA H. BROWN, MD, PA
Entity Type:Organization
Organization Name:REBECCA H. BROWN, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-845-3244
Mailing Address - Street 1:3599 GEORGE II HWY
Mailing Address - Street 2:
Mailing Address - City:SOUTHPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28461-7793
Mailing Address - Country:US
Mailing Address - Phone:910-845-3244
Mailing Address - Fax:910-845-3276
Practice Address - Street 1:3599 GEORGE II HWY
Practice Address - Street 2:
Practice Address - City:SOUTHPORT
Practice Address - State:NC
Practice Address - Zip Code:28461-7793
Practice Address - Country:US
Practice Address - Phone:910-845-3244
Practice Address - Fax:910-845-3276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200600032207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty