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NPI Code Detail

MEDICARE: DR. REBEKAH BROWN MD

MEDICARE: DR. REBEKAH BROWN 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1558219832
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBEKAH BROWN MD
Provider Business Mailing Address
First Line : 809 82ND PKWY
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29572-4607
Country : US
Telephone Number : 843-692-1595
Fax Number :
Provider Business Practice Location Address
First Line : 809 82ND PKWY
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29572-4607
Country : US
Telephone Number : 843-692-1595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ DR. REBEKAH BROWN MD” Practice Location

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