Provider Demographics
NPI:1942302575
Name:BROWN, ANDELL QUATTLEBAUM (RN)
Entity Type:Individual
Prefix:MRS
First Name:ANDELL
Middle Name:QUATTLEBAUM
Last Name:BROWN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 DEADFALL RD W
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-9546
Mailing Address - Country:US
Mailing Address - Phone:864-941-3429
Mailing Address - Fax:264-388-2418
Practice Address - Street 1:431 DEADFALL RD W
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29649-9546
Practice Address - Country:US
Practice Address - Phone:864-941-3429
Practice Address - Fax:864-388-2418
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor