Provider Demographics
NPI:1760444632
Name:BROWN, REBECCA H (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:H
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5730 EXECUTIVE DR STE 230
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-1762
Mailing Address - Country:US
Mailing Address - Phone:704-443-6250
Mailing Address - Fax:704-443-6279
Practice Address - Street 1:2030 WINDSOR RUN LN
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-0054
Practice Address - Country:US
Practice Address - Phone:704-443-6250
Practice Address - Fax:704-443-6279
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2023-06-28
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Provider Licenses
StateLicense IDTaxonomies
NC200600032207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCH22119Medicare UPIN