Provider Demographics
NPI:1669804647
Name:BROWN, ELMER GERALD JR (FNP)
Entity type:Individual
Prefix:MR
First Name:ELMER
Middle Name:GERALD
Last Name:BROWN
Suffix:JR
Gender:M
Credentials:FNP
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Mailing Address - Street 1:108 MONTGOMERY DR
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-3334
Mailing Address - Country:US
Mailing Address - Phone:864-561-2888
Mailing Address - Fax:
Practice Address - Street 1:108 MONTGOMERY DR
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-3334
Practice Address - Country:US
Practice Address - Phone:864-225-5597
Practice Address - Fax:864-516-8984
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC183392081P2900X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine