Provider Demographics
NPI:1952677965
Name:BROWN AND MCCOOL LASERS, LLC
Entity Type:Organization
Organization Name:BROWN AND MCCOOL LASERS, LLC
Other - Org Name:BROWN AND MCCOOL WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-990-1985
Mailing Address - Street 1:7540 CIPRIANO CT
Mailing Address - Street 2:SUITE B
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-3029
Mailing Address - Country:US
Mailing Address - Phone:251-990-1985
Mailing Address - Fax:251-591-5885
Practice Address - Street 1:7540 CIPRIANO CT
Practice Address - Street 2:SUITE B
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-3029
Practice Address - Country:US
Practice Address - Phone:251-990-1985
Practice Address - Fax:251-591-5885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-25
Last Update Date:2012-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty