| Doctor Name: | GARY W. BROWN |
| NPI Number: | 1396988762 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP-C |
| License Number: | 14103 |
| Business Practice Address: | 309 N Broad St New Tazewell, TN - 378256600 |
| Business Phone Number: | 4236267297 |
| Business Fax Number: | 4236265553 |
| Mailing Address: | 309 N Broad St, NEW TAZEWELL |
| State: | TN |
| Postal Code: | 378256600 |
| Phone Number: | 4236267297 |
| Fax Number: | 4236265553 |
| NPI Enumeration Date: | 04/14/2009 |
| NPI Last Update Date: | 04/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 14103 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |