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NPI Code Detail

MEDICARE: ISAAC WILLIAM BROWDER MD

MEDICARE: ISAAC WILLIAM BROWDER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianMD20468TN

General Provider Information

NPI Number : 1124011481
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISAAC WILLIAM BROWDER MD
Provider Business Mailing Address
First Line : PO BOX 699
Second Line :
City : MOUNTAIN HOME
State : TN
Zip : 37684-0699
Country : US
Telephone Number : 423-439-7201
Fax Number : 423-439-7219
Provider Business Practice Location Address
First Line : 325 N STATE OF FRANKLIN RD
Second Line : 3RD FLOOR
City : JOHNSON CITY
State : TN
Zip : 37604-6062
Country : US
Telephone Number : 423-439-7201
Fax Number : 423-439-7219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 11/02/2010

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