Provider Demographics
NPI:1902394588
Name:MCCORMICK BROWNE, MARY CATHERINE (LAC, DAOM)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:CATHERINE
Last Name:MCCORMICK BROWNE
Suffix:
Gender:F
Credentials:LAC, DAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 W MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:HARMONY
Mailing Address - State:NC
Mailing Address - Zip Code:28634-9352
Mailing Address - Country:US
Mailing Address - Phone:336-701-3237
Mailing Address - Fax:888-531-8211
Practice Address - Street 1:955 W MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:HARMONY
Practice Address - State:NC
Practice Address - Zip Code:28634
Practice Address - Country:US
Practice Address - Phone:336-701-3237
Practice Address - Fax:888-531-8211
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-29
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC243171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist