Provider Demographics
NPI:1578754867
Name:BROWN, SHELBY R (MS, ATC)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:R
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FURMAN UNIVERSITY
Mailing Address - Street 2:3300 POINSETT HIGHWAY
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29613-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:FURMAN UNIVERSITY
Practice Address - Street 2:3300 POINSETT HIGHWAY
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29613-0001
Practice Address - Country:US
Practice Address - Phone:864-294-2130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6642255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer