MEDICARE: JAMIE DUGGAN BROWN DPT

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
1	225100000X	Physical Therapist	8344	SC

General Provider Information

NPI Number	:	1285182501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE DUGGAN BROWN DPT

Provider Business Mailing Address
First Line	:	8823 PRODUCTION LN
Second Line	:
City	:	OOLTEWAH
State	:	TN
Zip	:	37363-6511
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:	423-238-3473

Provider Business Practice Location Address
First Line	:	1525 CELANESE RD
Second Line	:	STE 113
City	:	ROCK HILL
State	:	SC
Zip	:	29732-1757
Country	:	US
Telephone Number	:	803-336-8243
Fax Number	:	803-366-8245

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2016
Last Update Date	:	03/21/2020

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