Provider Demographics
NPI:1578747515
Name:BROWN, MARK C (PA)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:C
Last Name:BROWN
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Gender:M
Credentials:PA
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Mailing Address - Street 1:7550 ASSUNTA CT
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-3069
Mailing Address - Country:US
Mailing Address - Phone:251-928-4944
Mailing Address - Fax:251-928-2086
Practice Address - Street 1:7550 ASSUNTA CT
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-3069
Practice Address - Country:US
Practice Address - Phone:251-928-4944
Practice Address - Fax:251-928-2086
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2024-01-25
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Provider Licenses
StateLicense IDTaxonomies
FLPA9104408363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical