Healthcare Provider Details

I. General information

NPI: 1174594022
Provider Name (Legal Business Name): ROBERT NORVILLE BROWN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 ROECHLING DR
DALLAS NC
28034-9517
US

IV. Provider business mailing address

PO BOX 339
DALLAS NC
28034-0339
US

V. Phone/Fax

Practice location:
  • Phone: 704-922-8657
  • Fax: 704-922-2921
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number655
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number544
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: