Provider Demographics
NPI:1639166762
Name:BROWNE, BETH B
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:B
Last Name:BROWNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1028 N CHURCH ST
Mailing Address - Street 2:PARIS VIEW FAMILY PRACTICE
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-1639
Mailing Address - Country:US
Mailing Address - Phone:864-271-1464
Mailing Address - Fax:864-467-9119
Practice Address - Street 1:1028 N CHURCH ST
Practice Address - Street 2:PARIS VIEW FAMILY PRACTICE
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-1639
Practice Address - Country:US
Practice Address - Phone:864-271-1464
Practice Address - Fax:864-467-9119
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC19934207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP2375Medicaid
G93843Medicare UPIN
G938436143Medicare ID - Type Unspecified