MEDICARE: WILLIAM R BROWN III M.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
1	207L00000X	Anesthesiology Physician	17262	SC

Other Identifiers

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

General Provider Information

NPI Number	:	1790752582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM R BROWN III M.D.

Provider Business Mailing Address
First Line	:	9263 MEDICAL PLAZA DR
Second Line	:	STE E
City	:	CHARLESTON
State	:	SC
Zip	:	29406-7112
Country	:	US
Telephone Number	:	843-572-1228
Fax Number	:	877-561-7564

Provider Business Practice Location Address
First Line	:	9263 MEDICAL PLAZA DR
Second Line	:	STE E
City	:	CHARLESTON
State	:	SC
Zip	:	29406-7112
Country	:	US
Telephone Number	:	843-572-1228
Fax Number	:	877-561-7564

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

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	06/01/2012

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