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NPI Code Detail

MEDICARE: MOLLIE BROWN SYLVESTER AU. D.

MEDICARE: MOLLIE BROWN SYLVESTER AU. D.
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
1231H00000XAudiologist1196AAL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336692581
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLIE BROWN SYLVESTER AU. D.
Provider Business Mailing Address
First Line : 1000 W PINHOOK RD STE 201
Second Line :
City : LAFAYETTE
State : LA
Zip : 70503-2464
Country : US
Telephone Number : 337-237-0650
Fax Number : 888-990-2781
Provider Business Practice Location Address
First Line : 1000 W PINHOOK RD STE 201
Second Line :
City : LAFAYETTE
State : LA
Zip : 70503-2464
Country : US
Telephone Number : 337-237-0650
Fax Number : 888-990-2781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2016
Last Update Date : 07/07/2021

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