Doctor Name: | TINA BROWN |
NPI Number: | 1043644461 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 90096 |
Business Practice Address: | 160 Baxley Rd Hemingway, SC - 295540424 |
Business Phone Number: | 8435584444 |
Business Fax Number: | 8435584440 |
Mailing Address: | 160 Baxley Rd, HEMINGWAY |
State: | SC |
Postal Code: | 295546641 |
Phone Number: | 8435584444 |
Fax Number: | 8435584440 |
NPI Enumeration Date: | 08/22/2013 |
NPI Last Update Date: | 08/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 90096 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |