Provider Demographics
NPI:1356381909
Name:BERRY BROWN, FRANCES ANN (MD)
Entity type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:ANN
Last Name:BERRY BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 786
Mailing Address - Street 2:233 EAST GAINES ST
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38464
Mailing Address - Country:US
Mailing Address - Phone:931-762-1144
Mailing Address - Fax:931-766-0045
Practice Address - Street 1:233 EAST GAINES ST
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:TN
Practice Address - Zip Code:38464
Practice Address - Country:US
Practice Address - Phone:931-762-1144
Practice Address - Fax:931-766-0045
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD18320207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
117245OtherAETNA PROVIDER OFFICE NUM
TN0091503OtherBCBS TN
AL89062059OtherBCBS AL
TN0440433OtherUHC
4254569OtherAETNA NON HMO
7074011OtherCIGNA (CONNECTICUT GENERA
4254569OtherAETNA NON HMO
3375727Medicare PIN
3044116Medicare PIN