MEDICARE: REBECCA H. BROWN, MD, PA

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	207Q00000X	Family Medicine Physician	200600032	NC

General Provider Information

NPI Number	:	1558389049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REBECCA H. BROWN, MD, PA

Provider Business Mailing Address
First Line	:	3599 GEORGE II HWY
Second Line	:
City	:	SOUTHPORT
State	:	NC
Zip	:	28461-7793
Country	:	US
Telephone Number	:	910-845-3244
Fax Number	:	910-845-3276

Provider Business Practice Location Address
First Line	:	3599 GEORGE II HWY
Second Line	:
City	:	SOUTHPORT
State	:	NC
Zip	:	28461-7793
Country	:	US
Telephone Number	:	910-845-3244
Fax Number	:	910-845-3276

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. DEE LEWIS
Credential	:
Telephone Number	:	910-845-3244

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/14/2008

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