Healthcare Provider Details

I. General information

NPI: 1053310276
Provider Name (Legal Business Name): GREGORY P BROWN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 10/12/2021
Certification Date: 10/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

186 MEDICAL PARK LOOP STE 503
SYLVA NC
28779-4110
US

IV. Provider business mailing address

186 MEDICAL PARK LOOP STE 503
SYLVA NC
28779-4110
US

V. Phone/Fax

Practice location:
  • Phone: 828-586-7994
  • Fax: 828-586-7340
Mailing address:
  • Phone: 828-586-7994
  • Fax: 828-586-7340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: