Provider Demographics
NPI:1861660060
Name:BROWN, KORBY CHARLENE
Entity Type:Individual
Prefix:
First Name:KORBY
Middle Name:CHARLENE
Last Name:BROWN
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 1:5310 SONNYS DR
Mailing Address - Street 2:
Mailing Address - City:RAMSEUR
Mailing Address - State:NC
Mailing Address - Zip Code:27316-8849
Mailing Address - Country:US
Mailing Address - Phone:336-824-8758
Mailing Address - Fax:336-824-8758
Practice Address - Street 1:5310 SONNYS DR
Practice Address - Street 2:
Practice Address - City:RAMSEUR
Practice Address - State:NC
Practice Address - Zip Code:27316-8849
Practice Address - Country:US
Practice Address - Phone:336-824-8758
Practice Address - Fax:336-824-8758
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant